Tromboembolismo arterial em felino decorrente de cardiomiopatia restritiva: Relato de caso
DOI:
https://doi.org/10.31533/pubvet.v16n11a1266.1-9Keywords:
Thromboembolism, cats, restrictive, cardiomyopathyAbstract
Arterial thromboembolism in a feline due to restrictive cardiomyopathy: Case report
Abstract. Arterial thromboembolism (ATE) is a syndrome characterized by the formation of thrombi that reach the bloodstream and can end up in small arteries causing a series of complications. Cardiomyopathies that induce an enlargement of the left atrium in cats are the predisposing factor for the occurrence of the syndrome. The diagnosis of ATE is made through clinical signs and complementary tests, especially echocardiograms. Antithrombotic therapy is indicated as the first choice, but the prognosis varies from poor to bad. Analgesia is extremely important in the therapeutic protocol for patients with ATE. Restrictive Cardiomyopathy is an important cardiomyopathy in the feline clinic, in which a low percentage of cats demonstrate clinical signs prior to the thrombotic event or Congestive Heart Failure. The objective of this report is to describe the evolution of a case of arterial thromboembolism resulting from untreated restrictive cardiomyopathy in an eight-year-old spayed female cat weighing 4.9 kg with cyanosis of the pads and bilateral paralysis of the pelvic limbs. After diagnosis, a therapeutic protocol with clopidorgel, rivaroxaban, analgesia and associated symptomatic treatment was instituted. The patient responded favorably to clinical therapy in the first three days and, later, showed clinical worsening, and euthanasia was performed for personal reasons of the tutor and an unfavorable prognosis.
References
Araújo, V. M. J., Anastácio, F. D. L., Lopes, R. V., & Batista, T. M. A. (2022). Tromboembolismo arterial felino: Revisão de literatura. Atualidades Na Saúde e Bem-Estar Animal, 1, 156–168. https://doi.org/10.47242/978-65-87959-05-4-13.
Backschat, P. S., Goldfeder, G. T., Ampuero, F., Lacerda, A. M. D., & Larsson, M. H. M. (2016). Cardiomiopatia arritmogênica do ventrículo direito em felino: relato de caso. Arquivo Brasileiro de Medicina Veterinaria e Zootecnia, 68(5), 1112–1116. https://doi.org/10.1590/1678-4162-8616.
Chetboul, V., Passavin, P., Trehiou‐Sechi, E., Gouni, V., Poissonnier, C., Pouchelon, J., & Desquilbet, L. (2019). Clinical, epidemiological and echocardiographic features and prognostic factors in cats with restrictive cardiomyopathy: A retrospective study of 92 cases (2001‐2015). Journal of Veterinary Internal Medicine, 33(3), 1222–1231. https://doi.org/10.1111/jvim.15464.
Chetboul, V., & Tissier, R. (2012). Echocardiographic assessment of canine degenerative mitral valve disease. Journal of Veterinary Cardiology, 14(1), 127–148. https://doi.org/10.1016/j.jvc.2011.11.005.
De Madron, É. (2015). Evaluation of feline cardiomyopathies. In E. De Madron, V. Chetboul, & C. Bussadori (Eds.), Clinical echocardiography of the dog and cat (pp. 207–228). Elsevier. https://doi.org/10.1016/B978-0-323-31650-7.00013-2.
Evangelista, M. C., Watanabe, R., Leung, V. S. Y., Monteiro, B. P., O’Toole, E., Pang, D. S. J., & Steagall, P. V. (2019). Facial expressions of pain in cats: the development and validation of a Feline Grimace Scale. Scientific Reports, 9(1), 1–11. https://doi.org/10.1038/s41598-019-55693-8.
Figueroa, L., Paz, R., Díaz, D., & Dávila, R. (2014). Tromboembolismo aórtico felino: relato de caso. Revista de Investigaciones Veterinarias Del Perú, 25(3), 438–443. https://doi.org/1609-91172014000300013.
Fuentes, V. L. (2012). Arterial thromboembolism: risks, realities and a rational first-line approach. Journal of Feline Medicine and Surgery, 14(7), 459–470. https://doi.org/10.1177/1098612X12451547.
Fuentes, V. L., Abbott, J., Chetboul, V., Côté, E., Fox, P. R., Häggström, J., Kittleson, M. D., Schober, K., & Stern, J. A. (2020). ACVIM consensus statement guidelines for the classification, diagnosis, and management of cardiomyopathies in cats. Journal of Veterinary Internal Medicine, 34(3), 1062–1077. https://doi.org/10.1111/jvim.15745.
Hassan, M. H., Abu-Seida, A. M., Torad, F. A. T., & Hassan, E. A. (2020). Feline aortic thromboembolism: Presentation, diagnosis, and treatment outcomes of 15 cats. Open Veterinary Journal, 10(3), 340–346. https://doi.org/10.4314/ovj.v10i3.13.
Hogan, D. F. (2017). Feline cardiogenic arterial thromboembolism: prevention and therapy. Veterinary Clinics: Small Animal Practice, 47(5), 1065–1082. https://doi.org/10.1016/j.cvsm.2017.05.001.
Jorge, P. A. R., & Coelho, O. R. (1984). Ponte miocardica-significado e importancia. Arquivo Brasileiro de Cardiologia, 109–114.
Kimura, Y., Karakama, S., Hirakawa, A., Tsuchiaka, S., Kobayashi, M., & Machida, N. (2016). Pathological features and pathogenesis of the endomyocardial form of restrictive cardiomyopathy in cats. Journal of Comparative Pathology, 155(2–3), 190–198. https://doi.org/10.1016/j.jcpa.2016.06.003.
Larsson, M. H. M. A., & Chamas, P. P. C. (2011). Cardiomiopatia arritmogênica do ventrículo direito. Vets Today, 7.
Li, R. H. L., Nguyen, N., Stern, J. A., & Duler, L. M. (2022). Neutrophil extracellular traps in feline cardiogenic arterial thrombi: a pilot study. Journal of Feline Medicine and Surgery, 24(6), 580–586. https://doi.org/10.1177/1098612X211044986.
Lo, S. T., Walker, A. L., Georges, C. J., Li, R. H. L., & Stern, J. A. (2022). Dual therapy with clopidogrel and rivaroxaban in cats with thromboembolic disease. Journal of Feline Medicine and Surgery, 24(4), 277–283. https://doi.org/10.1177/1098612X211013736.
Locatelli, C., Pradelli, D., Campo, G., Spalla, I., Savarese, A., Brambilla, P. G., & Bussadori, C. (2018). Survival and prognostic factors in cats with restrictive cardiomyopathy: a review of 90 cases. Journal of Feline Medicine and Surgery, 20(12), 1138–1143. https://doi.org/10.1177/1098612X18755955.
Machado, É. G., Torres, A. G. M. J., Soares, L. G., Soares, G. P., & Soares, P. S. L. (2012). Ponte miocárdica: revisão de literatura. Revista de Medicina, 91(4), 241–245.
Mathews, K., Kronen, P. W., Lascelles, D., Nolan, A., Robertson, S., Steagall, P. V. M., Wright, B., & Yamashita, K. (2014). Guidelines for recognition, assessment and treatment of pain: WSAVA Global Pain Council members and co‐authors of this document. Journal of Small Animal Practice, 55(6), E10–E68.
Mathews, K., Kronen, P. W., Lascelles, D., Nolan, A., Robertson, S., Steagall, P. V. M., Wright, B., & Yamashita, K. (2015). Guidelines for recognition, assessment and treatment of pain. The Veterinary Nurse, 6(3), 164–173.
Miranda, K. L., Vaccarin, C. V., Lusa, F. T., Festugatto, R., & Pinheiro, F. (2022). Tromboembolismo arterial felino: Relato de caso. Anais de Medicina Veterinária, 2(1), 91–94.
Pavelková, E. (2019). Feline arterial thromboembolism. Companion Animal, 24(8), 426–430. https://doi.org/10.12968/coan.2019.0021.
Silva, L. A. P., Contieri, M. B., & Ferreira, F. S. (2014). Cardiomiopatia arritmogênica do ventrículo direito do boxer-revisãode literatura. Revista Científica de Medicina Veterinária, 12(40), 128–138.
Spantiago, I. L. T., Riquette, S. A., Lobão, P., Fortunati, S., & Torres, M. L. (2018). Tromboembolismo em felino com cardiomiopatia hipertrófica associada. Ciência Animal, 28(4), 35–37.
Steagall, P. V. M., Aucoin, M., Monteiro, B. P., Moreau, M., Simon, B. T., & Burns, P. M. (2015). Clinical effects of a constant rate infusion of remifentanil, alone or in combination with ketamine, in cats anesthetized with isoflurane. Journal of the American Veterinary Medical Association, 246(9), 976–981. https://doi.org/10.2460/javma.246.9.976.
Vezzosi, T., Buralli, C., Briganti, A., Vannozzi, I., Giacomelli, E., Talamanca, G. F., Sansoni, A., Domenech, O., & Tognetti, R. (2020). Surgical embolectomy in a cat with cardiogenic aortic thromboembolism. Journal of Veterinary Cardiology, 28, 48–54. https://doi.org/10.1016/j.jvc.2020.03.002.
Ware, W. A. (2014). Doenças miocárdicas do gato. In R. E. Nelson & C. G. Couto (Eds.), Medicina interna de pequenos animais (pp. 145–158).
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