Perikardiektomia torakoskopowa. Wskazania i techniki u małych zwierząt. Cz. I/Thoracoscopic pericardectomy. Indications and techniques in small animals. Part I

Thoracoscopic pericardectomy. Indications and techniques in small animals. Part I

Prevalence of pericardial effusion accounts for approximately 7% of dogs with clinical signs of cardiac disease (1). In dogs, the most common causes of pericardial effusion include idiopathic pericarditis and neoplasms (2-4). In cats, pericardial effusion is often associated with feline cardiomyopathy, feline infectious peritonitis, and neoplasia (primarily lymphosarcoma).

Idiopathic pericardial effusion refers to sterile, often hemorrhagic effusion in the pericardial space with no evidence of neoplasia, cardiac disease, trauma or infection.

• German Shepherds,
• Golden Retrievers,
• Great Danes,
• and Saint Bernards

appear to be predisposed with an age at presentation ranging from 1 to 14 years, with a mean of 6 years. Males appear to be affected more frequently than females (5).

The three most common neoplasms resulting in pericardial effusion are:

• hemangiosarcoma, aortic body tumors, and mesothelioma.

Hemangiosarcoma (HSA) commonly arises from the right atrial appendage and represents 60% to 75% of all neoplasms resulting in pericardial effusion. German Shepherds and Golden Retrievers are reportedly [...]

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