Page 443 - Atlas of Small Animal CT and MRI
P. 443

Heart, Pulmonary Vasculature, and Great Vessels  433


              Figure 4.4.8  Persistent Right Aortic Arch (Canine)                                         CT
                                                                             14mo Cocker Spaniel with chronic regurgi-
                                                                             tation. Images  a and  b are from a normal
                                                                             dog and are ordered from cranial to caudal.
                                                                             Images c and d are from the dog with the
                                                                             persistent right aortic arch and are at approx-
                                                                             imately the same anatomic level as a and b,
                                                                             respectively. The cranial thoracic esophagus
                                                                             is markedly dilated with fluid and gas (c: Es)
                                                                             The aortic arch (c: AAr) is located to the right
                                                                             of the trachea, causing tracheal displacement
                                                                             and luminal narrowing (c,d: Tr). Although the
                                                                             ligamentum arteriosum is not directly identi-
                                                                             fied, its presence is implied by the location of
                                                                             the esophagus (c,d: Es) relative to the aorta
            (a) CT+C, TP                     (b) CT+C, TP                    (c,d:  AAr,AA,DA) and the pulmonary trunk
                                                                             (d: PT) and the presence of megaesophagus
                                                                             cranial to the obstruction. See page 428 for
                                                                             Legend for Figures  4.4.5–4.4.15. Susanne
                                                                             Stieger‐Vanegas, Oregon State University,
                                                                             Corvallis, OR, 2014. Reproduced with permis-
                                                                             sion from S Stieger‐Vanegas.












            (c) CT+C, TP                     (d) CT+C, TP




              Figure 4.4.9  Left Cardiac Chamber Enlargement from Mitral Valve Insufficiency (Canine)     CT




















            (a) CT+C, TP                     (b) CT+C, SP
            10y MC German Shepherd cross with lethargy and pleural effusion. Left atrial (a,b: LA) and ventricular (a,b: LV) chamber enlargement
            is  evident on enhanced transverse and long‐axis images of the heart. Moderate pleural effusion is also present (a,b: asterisk).
            Echocardiographic examination confirmed moderate left atrial and ventricular enlargement and mitral valve regurgitation. Although the
            right atrium and ventricle (a,b: RV) were deemed to be of normal size, tricuspid valvular degeneration was also evident. The cause for
            pleural effusion was thought to be right ventricular failure. See page 428 for Legend for Figures 4.4.5–4.4.15.
                                                                                                             433
   438   439   440   441   442   443   444   445   446   447   448