PNEUMOPERICARDIOGRAPHY IN THE NORMAL DOG |
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| Authors: | John R Reed MS DVM William P Thomas DVM PeterF Suter Dr med vet |
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| Institution: | Departments of Medicine (Thomas) and Radiological Sciences (Suter) and the Veterinary Medical Teaching Hospital (Reed), School of Veterinary Medicine, University of California, Davis, California 95616. Dr. Reed's current address is Sacramento Animal Medical Group, 3451 Elkhorn Blvd., North Highlands, California 95660. Dr. Suter's current address is Veterinar-Medizinische Klinik der Universitat Zurich, Winterthurerstr 260, CH8057 Zurich, Switzerland. |
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| Abstract: | To define the normal radiographic anatomy of the canine heart and pericardial space as outlined by air, pneumopericardiography was performed in ten normal, anesthetized dogs using a percutaneously introduced pericardial catheter. Room air was injected to produce pneumopericardiums without causing cardiac tamponade, and radiographs were obtained using a vertical beam with the dogs positioned in right lateral (RLAT), left lateral(LLAT), dorsal (VD), and ventral (DV) recumbency. Selective and nonselective angiocardiography was used to confirm the identity of the outlined structures. The RLAT and LLAT positions provided more information than the DV or VD positions. Pericardial air consistently outlined a distinct interventricular sulcus and the recesses around the aorta and pulmonary artery. The right auricle, outlined along the cranial heart border ventral to the ascending aorta in both RLAT and LLAT positions, varied considerably in size. The RLAT position best outlined structures to the left of midline, including the left auricle, interventricular sulcus, outflow region of the right ventricle, and the origin of the pulmonary artery. The LLAT position best demonstrated structures to the right of midline, including the right atrium, proximal part of the cranial and caudal vena cavae, and ascending aorta. The considerable range of normal variation between dogs in this study must be considered in the interpretation of clinical pneumopericardiograms. |
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| Keywords: | dog pericardium pneumopericardiography angiocardiography |
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