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Peer-reviewed veterinary case report

Short-term results of thoracoscopy vs thoracotomy for dog aortic arch

By Nucci, Daniel J et al.·Published in Journal of the American Veterinary Medical Association·2018·View original on PubMed

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Original publication title: Retrospective comparison of short-term outcomes following thoracoscopy versus thoracotomy for surgical correction of persistent right aortic arch in dogs.

Species:
dog

Plain-English summary

A group of dogs with a condition called persistent right aortic arch (PRAA), which can cause swallowing difficulties and other issues, underwent two types of surgery: thoracoscopy and thoracotomy. The study found that both surgical methods had similar outcomes in terms of complications and recovery time. Dogs that had thoracoscopy typically spent about one day in the hospital, while those who had thoracotomy stayed longer, up to 22 days. Overall, thoracoscopy was shown to be a safe and effective option for treating this condition in dogs.

People also search for: dog swallowing problems surgery · persistent right aortic arch treatment · thoracoscopy vs thoracotomy for dogs

Abstract

OBJECTIVE To evaluate thoracoscopy as a treatment for dogs with persistent right aortic arch (PRAA) and to compare intra- and postoperative complications and short-term outcomes of dogs that underwent thoracoscopy versus thoracotomy for treatment of PRAA. DESIGN Retrospective cohort study. ANIMALS 30 dogs (24 client-owned and 6 shelter-owned) that had undergone thoracoscopy or thoracotomy for treatment of PPRA between 1998 and 2015. PROCEDURES Medical records were reviewed retrospectively, and data were compared between dogs that underwent thoracoscopy versus thoracotomy. For dogs that underwent thoracoscopy, linear regression was performed to compare duration of surgery with sequential order of thoracoscopies. RESULTS Dogs underwent a thoracotomy alone (n = 15), thoracoscopy alone (10), or thoracoscopy converted to thoracotomy (5) for treatment of PRAA. Median duration of surgery was not markedly different among groups, nor was the incidence of postoperative complications or median amount of time a thoracostomy tube was maintained in place. Median duration of hospitalization was 1 day (range, 0.5 to 2 days) for dogs that underwent thoracoscopy and 2 days (range, 0.5 to 22 days) for dogs that underwent thoracotomy or in which thoracoscopy was converted to a thoracotomy. CONCLUSIONS AND CLINICAL RELEVANCE Thoracoscopy was found to be an acceptable method for treating dogs with PRAA and was not associated with higher morbidity or mortality rates, compared with thoracotomy.

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Original publication on PubMed: https://pubmed.ncbi.nlm.nih.gov/30058961/