Granulomatous Inflammation and Pericarditis Induced by Silk Granuloma Related to Previous Surgical Ligation of Patent Ductus Arteriosus in a Dog

Surgical ligation of a patent ductus arteriosus is regarded as a standard treatment approach with a low complication rate if performed by experienced surgeons, and it has been performed successfully for decades in dogs. However, there are no reports describing the clinical symptoms related to granul...

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Published inVeterinary sciences Vol. 9; no. 12; p. 694
Main Authors Moon, Chang-Hwan, Kim, Woo-Jin, Lee, Won-Jong, Kim, Kyung-Min, Lee, Hae-Beom, Jeong, Seong-Mok, Kim, Dae-Hyun
Format Journal Article
LanguageEnglish
Published Switzerland MDPI AG 01.12.2022
MDPI
Subjects
Biopsy
Blood
Case Report
Complications
Coronary vessels
Dogs
Granuloma
Granulomas
granulomatous inflammation
Heart failure
Inflammation
Leukocytosis
Ostomy
Patent ductus arteriosus
pericardial effusion
Pericarditis
Postoperative
Proteins
Pulmonary arteries
Pulmonary hypertension
Remifentanil
Silk
silk granuloma
Surgery
Sutures
Veins & arteries
Velocity
Veterinary medicine
silk granuloma
pericardial effusion
patent ductus arteriosus
granulomatous inflammation
pericarditis
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Summary:Surgical ligation of a patent ductus arteriosus is regarded as a standard treatment approach with a low complication rate if performed by experienced surgeons, and it has been performed successfully for decades in dogs. However, there are no reports describing the clinical symptoms related to granulomatous inflammation after the surgical ligation of the patent ductus arteriosus. This report describes the clinical symptoms caused by granulomatous inflammation and subacute pericarditis in a dog that had undergone the surgical closure of a patent ductus arteriosus 2 years previously. Exploratory thoracotomy was performed for subtotal pericardiectomy, and a biopsy was performed to obtain specimens for histopathological examination and culture tests. The clinical symptoms were relieved after surgery. The persistent leukocytosis improved with steroid administration. This case illustrates that the granulomatous inflammatory response associated with silk suture granuloma is a rare postoperative complication of ductal ligation. In such cases, pericardiectomy can help relieve the clinical symptoms.
Bibliography:These authors contributed equally to this work.
ISSN:2306-7381
2306-7381
DOI:10.3390/vetsci9120694