Page 210 - BSAVA Manual of Canine and Feline Head, Neck and Thoracic Surgery, 2nd Edition

Chapter 15 · Surgery of the heart, pericardium and great vessels

This resection can be achieved using a vascular References and further reading
stapling device or vascular clamps to facilitate hand-sewn Aronsohn M (1985) Cardiac hemangiosarcoma in the dog: a review of 38 cases.
VetBooks.ir tumour. Having Rommel tourniquets in place to perform Journal of the American Veterinary Medical Association 187, 922–926
atrial closure after resection of the atrial wall containing the
Aronson R and Gregory CR (199 ) Infectious pericardial e usion in five dogs.
TVIO prior to tumour resection is important in this instance.
Veterinary Surgery 24, 402–407
If a tangential (e.g. Satinsky) clamp is used, it is important
Practice, 2nd edn. BSAVA Publications, Gloucester
to incorporate sufficient atrial wall to allow suturing of Bexfield N and ee ( 14) BSAVA Guide to Procedures in Small Animal
the atrium with the clamp still in place, after resection of the Birchard SJ (1990) Results of ligation of patent ductus arteriosus in dogs: 201
cases (1969–1988). Journal of the American Veterinary Medical Association 196,
tumour (Figure 15.9a). This is relatively straightforward if 2011–2013
the tumour is at the tip of the auricle but can be more diffi- Buchanan JW (1967) Surgical treatment of congenital cardiovascular diseases. In:
cult if the mass is in the central part of the atrial wall. If a Current Veterinary Therapy II, ed. RW irk, pp. 87 1 3. WB Saunders, Philadelphia
stapling device is used, ideally the stapler should deploy an Buchanan JW (1978) Morphology of the ductus arteriosus in fetal and neonatal
dogs genetically predisposed to patent ductus arteriosus. Birth Defects Original
overlapping double or triple row of staples that close with a Article Series 14, 349–360
1 mm gap. Depending on the size of the dog, 1 metric (5/0 Buchanan JW (2001) Patent ductus arteriosus morphology, pathogenesis, types
USP) or 1.5 metric (4/0 USP) polypropylene sutures can be and treatment. Journal of Veterinary Cardiology 3, 7–16
used in a continuous horizontal mattress suture pattern Buchanan JW (2004) Tracheal signs and associated vascular anomalies in dogs
with persistent right aortic arch. Journal of Veterinary Internal Medicine 18, 510–514
that is oversewn by a simple continuous pattern (Figure
Buchanan JW (1968) Thoracic surgery in the dog and cat. 3. Patent ductus
15.9b). Initial postoperative management is as for any thora - arteriosus and persistent right aortic arch surgery in dogs. Journal of Small
cotomy patient that has undergone blood loss. Ultimately, Animal Practice 9, 409–428
the management will depend on the histological diagnosis Bureau S, Monnet E and Orton EC (2005) Evaluation of survival rate and
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Case JB, Maxwell M, Aman A et al. (2013) Outcome evaluation of a
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Ehrhart N, Ehrhart EJ, Willis J et al. ( ) Analysis of factors a ecting survival
in dogs with aortic body tumors. Veterinary Surgery 31, 44–48
Eyster GE, Eyster JT, Cords GB et al. (1976) Patent ductus arteriosus in the dog:
characteristics of occurrence and results of surgery in 100 consecutive cases.
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Eyster GE (1985) Basic cardiac procedures. In: Textbook of Small Animal
Surgery, ed. D Slatter, pp. 893–918. W B Saunders, Philadelphia
Glaus TM, Martin M, Boller M et al. (2003) Catheter closure of patent ductus
arteriosus in dogs: variation in ductal si e requires di erent techniques. Journal
of Veterinary Cardiology 5, 7–12
Holt D, Heldmann E, Michel and Buchanan JW ( ) Esophageal obstruction
caused by a left aortic arch and an anomalous right patent ductus arteriosus in
two German Shepherd littermates. Veterinary Surgery 29, 264–270
Hunt GB, Simpson DJ, Beck JA et al. (2001) Intraoperative hemorrhage during
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Jackson J, Richter P and auner DP (1999) horacoscopic partial pericardec-
tomy in 13 dogs. Journal of Veterinary Internal Medicine 13, 529–533
(a) Jackson WF and Henderson RA (1979) Ligature placement in closure of patent
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Mayhew N, Mayhew PD, Sorrell-Raschi et al. (2009) Thoracoscopic
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alternating one-lung ventilation. Veterinary Surgery 38, 961–966
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Mellanby RJ and Herrtage ME (2005) Long-term survival of 23 dogs with
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(a) Via a median sternotomy, a Satinsky clamp has been placed the American Veterinary Medical Association 219, 485–487
15.9 across the right atrial appendage (RAA) so that the tumour van Israël N, Dukes-McEwan J and French AT (2003) Long-term follow-up of dogs
and its associated thrombus can be resected. The right ventricle is with patent ductus arteriosus. Journal of Small Animal Practice 44, 480–490
seen above the right atrium in this photograph. There is su cient tissue Walsh PJ, Remedios AM, Ferguson JF et al. (1999) Thoracoscopic versus open
left in the clamp to allo suturing to be done before the clamp is partial pericardectomy in dogs: comparison of postoperative pain and
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polypropylene in a continuous horizontal mattress suture pattern that chemotherapy: 23 cases (1986–2000). Journal of the American Veterinary Medical
was oversewn with a simple interrupted pattern. Association 226, 575–579

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