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Perikardiektomia torakoskopowa. Wskazania i techniki - Vetkompleksowo – serwis dla lekarzy weterynarii
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Wyszukaj w serwisie


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


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Występowanie wysięku w worku osierdziowym dotyczy około 7% psów z klinicznymi objawami choroby serca (1). U psów najczęstszymi przyczynami wysięku są idiopatyczne zapalenie osierdzia oraz choroby nowotworowe (2-4). U kotów często wiąże się on z kardiomiopatią, zakaźnym zapaleniem otrzewnej kotów oraz chorobami nowotworowymi (przede wszystkim chłoniakomięsakiem).

Wysięk idiopatyczny do osierdzia oznacza występowanie jałowego, często krwistego wysięku w worku osierdziowym bez dowodów na istnienie procesów nowotworowych, choroby serca, urazu bądź infekcji. Wydaje się, że rasy predysponowane to:

  • owczarki niemieckie,
  • golden retrievery,
  • dogi niemieckie oraz bernardyny.

Średnia wieku psów prezentujących objawy tego schorzenia to 6 lat, przy czym rozkład wieku wynosi od roku do czternastu lat. Podejrzewa się, że samce są częściej dotknięte tym schorzeniem niż suki (5).

Trzy najczęstsze nowotwory skutkujące wysiękiem do osierdzia to:

  • naczyniakomięsak, guzy kłębka aorty oraz mezotelioma.

Naczyniakomięsak zazwyczaj tworzy się w okolicy uszka prawego przedsionka i stanowi 60-75% wszystkich nowotworów skutkujących wysiękiem do osierdzia. Predysponowanymi rasami są owczarki niemieckie i golden retrievery. W przypadku naczyniakomięsaka w momencie diagnozy często występują już przerzuty do płuc, śledziony [...]

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Mogą zainteresować Cię również


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Wizytówka firmy


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Sklep


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