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Peer-reviewed veterinary case report

Cat with left heart ventricle aneurysm seen on advanced imaging

By Toschi Corneliani, R et al.·Published in Journal of veterinary cardiology : the official journal of the European Society of Veterinary Cardiology·2022·Ospedale Veterinario San Francesco, Italy·View original on PubMed

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Original publication title: Advanced imaging findings in a cat with left ventricular apical aneurysm.

Species:
cat

Plain-English summary

An eight-year-old male neutered domestic shorthair cat was brought in with severe anemia, which is a low red blood cell count. Advanced heart imaging revealed a serious condition called a left ventricular apical aneurysm, where part of the heart's wall was thin and not functioning properly. Unfortunately, despite the detailed imaging, the exact cause of the heart damage couldn't be determined. Sadly, the cat did not survive, and a post-mortem examination confirmed significant heart muscle loss.

People also search for: cat anemia symptoms · cat heart problems treatment · domestic shorthair heart disease

Abstract

An eight-year-old, male neutered, domestic shorthair cat presented with severe anemia. Two-dimensional echocardiography identified severe left ventricular apical dilation with wall thinning and akinesia. The basal portion of the left ventricle showed equivocal hypertrophy and subjective hyperkinesis. Speckle tracking echocardiography showed marked abnormalities in all deformation planes (longitudinal, circumferential, radial strain) and twist. Three-dimensional Bull's eye plot reconstruction was also performed. Post-mortem evaluation showed a pale and paper-thin left ventricular apex and histopathology confirmed full-thickness cardiomyocytes loss with fibrous replacement. Left ventricular acquired apical aneurysms are the result of chronic damage of the myocardium and are associated with many disease conditions in people, including coronary artery disease and cardiomyopathy. The exact pathophysiological mechanism could not be determined with certainty in the cat of the present report, but advanced echocardiographic evaluation added some fine details into the characterization of this infrequently reported abnormality.

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Original publication on PubMed: https://pubmed.ncbi.nlm.nih.gov/35985132/