SUBTOTAL PERICARDIECTOMY FOR TREATMENT OF CONSTRICTIVE EFFUSIVE PERICARDITIS IN A LLAMA CRIA
Journal Year: 2007
Journal Month: June
Published On: 11-10-2018 07:00:00
Article DOI:

S Nichols, DE Anderson and K Schober
Departments of Veterinary Clinical Studies,
College of Veterinary Medicine, The Ohio State University, Columbus, OH 43210.


ABSTRACT


A 2 month old llama cria was evaluated for lethargy and intermittent fever. A physical examination revealed a holosystolic murmur (3/6) over the tricuspid valve area and an enlarged umbilicus suggestive of an abscess. An echocardiography revealed severe enlargement of the atriums, ventricular hyperkinesia and mild increase of the pericardial fluid mainly organised as fibrin. A diagnosis of constrictive effusive pericarditis was made. To increase the ventricular segmental fraction, a subtotal pericardiectomy was suggested. After resection of the 5th rib, a left thoracotomy was performed to expose the heart. 60% of the pericardium was then removed. The cria recovered uneventfully from the surgery. Seven days after the surgery a control echocardiography was performed. No more effusion was surrounding the heart. However, the cria showed signs of cardiac failure (enlarge vessels, abdominal effusion). Two weeks after the pericardiectomy, the cria gained weight and was clinically normal, hence was discharged from the hospital. A laparotomy was performed to remove umbilical abscess. At follow up, the owner reported that the cria died suddenly without showing any signs of lethargy. In conclusion, this case demonstrates that a pericardiectomy can be performed in llama cria from a left thoracotomy.
Key words: Cria, llama, pericarditis, pericardiectomy, umbilical abscess.


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