Acquired pulmonic stenosis due to a compressing intrathoracic abscess in a Thoroughbred yearling

Sigrid Hyldahl Laursen; Gaby van Galen Verwilghen; Godelind Alma Wolf-Jäckel; Rikke Buhl

doi:10.1016/j.jevs.2015.06.009

Acquired pulmonic stenosis due to a compressing intrathoracic abscess in a Thoroughbred yearling

Sigrid Hyldahl Laursen, Gaby van Galen Verwilghen, Godelind Alma Wolf-Jäckel, Rikke Buhl

Abstract

A 12-month-old Thoroughbred filly was admitted for poor weight gain, intermittent fever, and distal limb edema. Initial clinical examination revealed tachycardia, tachypnea, and pyrexia. A loud holosystolic murmur was identified by cardiac auscultation, and thoracic auscultation identified bilateral diffuse crackles. Echocardiography demonstrated severe extrinsic pulmonic stenosis, enlargement of the right ventricle and compression of the left ventricle. Mediastinal ultrasound revealed a large, encapsulated, cavernous mass in the cranial thorax, compressing the heart. Bacterial culture of tracheal aspirates and aspirations of the intrathoracic mass yielded a pure culture of Streptococcus equi spp. zooepidemicus. Acquired pulmonic stenosis has not previously been reported in horses, whereas congenital pulmonic stenosis has. This case report demonstrates that in line with human medicine, pulmonic stenosis can be acquired because of thoracic masses compressing the pulmonic artery.

Original language	English
Journal	Journal of Equine Veterinary Science
Volume	35
Issue number	8
Pages (from-to)	692-696
Number of pages	5
ISSN	0737-0806
DOIs	https://doi.org/10.1016/j.jevs.2015.06.009
Publication status	Published - 1 Aug 2015

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

Access to Document

10.1016/j.jevs.2015.06.009

Cite this

@article{f437faead2614c458c6f744814c1cdf0,

title = "Acquired pulmonic stenosis due to a compressing intrathoracic abscess in a Thoroughbred yearling",

abstract = "A 12-month-old Thoroughbred filly was admitted for poor weight gain, intermittent fever, and distal limb edema. Initial clinical examination revealed tachycardia, tachypnea, and pyrexia. A loud holosystolic murmur was identified by cardiac auscultation, and thoracic auscultation identified bilateral diffuse crackles. Echocardiography demonstrated severe extrinsic pulmonic stenosis, enlargement of the right ventricle and compression of the left ventricle. Mediastinal ultrasound revealed a large, encapsulated, cavernous mass in the cranial thorax, compressing the heart. Bacterial culture of tracheal aspirates and aspirations of the intrathoracic mass yielded a pure culture of Streptococcus equi spp. zooepidemicus. Acquired pulmonic stenosis has not previously been reported in horses, whereas congenital pulmonic stenosis has. This case report demonstrates that in line with human medicine, pulmonic stenosis can be acquired because of thoracic masses compressing the pulmonic artery.",

author = "Laursen, {Sigrid Hyldahl} and {van Galen Verwilghen}, Gaby and Wolf-J{\"a}ckel, {Godelind Alma} and Rikke Buhl",

year = "2015",

month = aug,

day = "1",

doi = "10.1016/j.jevs.2015.06.009",

language = "English",

volume = "35",

pages = "692--696",

journal = "Journal of Equine Veterinary Science",

issn = "0737-0806",

publisher = "W.B.Saunders Co.",

number = "8",

}

TY - JOUR

T1 - Acquired pulmonic stenosis due to a compressing intrathoracic abscess in a Thoroughbred yearling

AU - Laursen, Sigrid Hyldahl

AU - van Galen Verwilghen, Gaby

AU - Wolf-Jäckel, Godelind Alma

AU - Buhl, Rikke

PY - 2015/8/1

Y1 - 2015/8/1

N2 - A 12-month-old Thoroughbred filly was admitted for poor weight gain, intermittent fever, and distal limb edema. Initial clinical examination revealed tachycardia, tachypnea, and pyrexia. A loud holosystolic murmur was identified by cardiac auscultation, and thoracic auscultation identified bilateral diffuse crackles. Echocardiography demonstrated severe extrinsic pulmonic stenosis, enlargement of the right ventricle and compression of the left ventricle. Mediastinal ultrasound revealed a large, encapsulated, cavernous mass in the cranial thorax, compressing the heart. Bacterial culture of tracheal aspirates and aspirations of the intrathoracic mass yielded a pure culture of Streptococcus equi spp. zooepidemicus. Acquired pulmonic stenosis has not previously been reported in horses, whereas congenital pulmonic stenosis has. This case report demonstrates that in line with human medicine, pulmonic stenosis can be acquired because of thoracic masses compressing the pulmonic artery.

AB - A 12-month-old Thoroughbred filly was admitted for poor weight gain, intermittent fever, and distal limb edema. Initial clinical examination revealed tachycardia, tachypnea, and pyrexia. A loud holosystolic murmur was identified by cardiac auscultation, and thoracic auscultation identified bilateral diffuse crackles. Echocardiography demonstrated severe extrinsic pulmonic stenosis, enlargement of the right ventricle and compression of the left ventricle. Mediastinal ultrasound revealed a large, encapsulated, cavernous mass in the cranial thorax, compressing the heart. Bacterial culture of tracheal aspirates and aspirations of the intrathoracic mass yielded a pure culture of Streptococcus equi spp. zooepidemicus. Acquired pulmonic stenosis has not previously been reported in horses, whereas congenital pulmonic stenosis has. This case report demonstrates that in line with human medicine, pulmonic stenosis can be acquired because of thoracic masses compressing the pulmonic artery.

U2 - 10.1016/j.jevs.2015.06.009

DO - 10.1016/j.jevs.2015.06.009

M3 - Journal article

SN - 0737-0806

VL - 35

SP - 692

EP - 696

JO - Journal of Equine Veterinary Science

JF - Journal of Equine Veterinary Science

IS - 8

ER -

Acquired pulmonic stenosis due to a compressing intrathoracic abscess in a Thoroughbred yearling

Abstract

UN SDGs

Access to Document

Fingerprint

Cite this