Peer-reviewed veterinary case report
Horse laryngoplasty failure - what went wrong?
By Hardcastle, Michael Robert et al.·Published in Veterinary surgery : VS·2012·Institute of Veterinary·View original on PubMed →
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Original publication title: Clinicopathologic observations on laryngoplasty failure in a horse.
- Species:
- horse
Plain-English summary
A 9-year-old Thoroughbred cross gelding underwent a surgical procedure called laryngoplasty to help with breathing issues, but unfortunately, he died shortly after surgery. During the examination after his death, it was found that the stitches used in the surgery had pulled through a part of his throat, which looked normal on the outside. However, there were signs of damage and inflammation in the cartilage, along with some bacteria present. Additionally, the horse had heart problems and fluid buildup in his lungs, which contributed to his death. The findings suggest that the surgery may have failed due to pressure from the stitches and possibly a mild infection, leading to serious breathing issues and ultimately, his passing.
Abstract
OBJECTIVE: To report morphologic findings associated with laryngoplasty failure in a horse. STUDY DESIGN: Clinical report. ANIMALS: A 9-year-old Thoroughbred cross gelding. METHODS: Necropsy and histopathology were performed on a horse that died peracutely during anesthetic recovery after correction of a right dorsal displacement of the ascending colon. Three weeks earlier the horse had left laryngoplasty and ventriculocordectomy. RESULTS: Dissection of the larynx revealed that the laryngoplasty suture had pulled through the muscular process of the left arytenoid cartilage, which appeared grossly normal. Histopathology of the arytenoid muscular process revealed cartilage necrosis, granulation tissue, and inflammation around the cartilage and within the cartilage failure line, and small numbers of coccoid bacteria in a minority of cartilage canals. Multifocal cardiomyopathy and pulmonary congestion, edema, and hemorrhage were also observed histologically. CONCLUSION: Death was attributed to peracute pulmonary edema associated with cardiac abnormalities and airway obstruction from laryngoplasty failure. Morphologic changes in the muscular process indicate gradual progression toward laryngoplasty failure, possibly associated with suture-induced pressure necrosis and/or microscopic low-grade postoperative infection.
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Search related cases →Original publication on PubMed: https://pubmed.ncbi.nlm.nih.gov/22548626/