Coronary arteriovenous malformation in a dog with a complex arrhythmia and hypothyroidism

Rachel Blake; Maurizio Longo; Giorgia Santarelli; Tiziana Liuti; Yolanda Martinez-Pereira

doi:10.1016/j.jvc.2019.01.005

Coronary arteriovenous malformation in a dog with a complex arrhythmia and hypothyroidism

Rachel Blake, Maurizio Longo, Giorgia Santarelli, Tiziana Liuti, Yolanda Martinez-Pereira

Research output: Contribution to journal › Article › peer-review

Abstract

A four-year-old Japanese Akita was referred for investigation of lethargy, exercise intolerance and an irregular heart rhythm. He was diagnosed with atrial fibrillation, a complex ventricular arrhythmia and hypothyroidism. Echocardiography identified a nest of anomalous vessels surrounding the heart and shunting into the pulmonary artery. Computed tomography confirmed a coronary arteriovenous malformation consisting of a coronary-to-pulmonary arterial communication and an associated complex nest of tortuous vessels, which was thought to be an incidental finding. Clinical signs improved with levothyroxine and antiarrhythmic treatment. As well as describing an unusual coronary artery anomaly, this case serves as a reminder to critically evaluate the hemodynamic significance of structural cardiac disease and to screen for systemic disease in patients with arrhythmias.

Original language	English
Journal	Journal of Veterinary Cardiology
Early online date	26 Feb 2019
DOIs	https://doi.org/10.1016/j.jvc.2019.01.005
Publication status	E-pub ahead of print - 26 Feb 2019

Keywords

cardiac
veterinary
CT
fistula
atrial fibrillation

Access to Document

10.1016/j.jvc.2019.01.005

Blake_coronary artery anomaly hypothyroidism arrhythmia_revised_3Accepted author manuscript, 25.5 KBLicence: CC BY-NC-ND

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Cite this

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title = "Coronary arteriovenous malformation in a dog with a complex arrhythmia and hypothyroidism",

abstract = "A four-year-old Japanese Akita was referred for investigation of lethargy, exercise intolerance and an irregular heart rhythm. He was diagnosed with atrial fibrillation, a complex ventricular arrhythmia and hypothyroidism. Echocardiography identified a nest of anomalous vessels surrounding the heart and shunting into the pulmonary artery. Computed tomography confirmed a coronary arteriovenous malformation consisting of a coronary-to-pulmonary arterial communication and an associated complex nest of tortuous vessels, which was thought to be an incidental finding. Clinical signs improved with levothyroxine and antiarrhythmic treatment. As well as describing an unusual coronary artery anomaly, this case serves as a reminder to critically evaluate the hemodynamic significance of structural cardiac disease and to screen for systemic disease in patients with arrhythmias.",

keywords = "cardiac, veterinary, CT, fistula, atrial fibrillation",

author = "Rachel Blake and Maurizio Longo and Giorgia Santarelli and Tiziana Liuti and Yolanda Martinez-Pereira",

year = "2019",

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day = "26",

doi = "10.1016/j.jvc.2019.01.005",

language = "English",

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issn = "1760-2734",

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T1 - Coronary arteriovenous malformation in a dog with a complex arrhythmia and hypothyroidism

AU - Blake, Rachel

AU - Longo, Maurizio

AU - Santarelli, Giorgia

AU - Liuti, Tiziana

AU - Martinez-Pereira, Yolanda

PY - 2019/2/26

Y1 - 2019/2/26

N2 - A four-year-old Japanese Akita was referred for investigation of lethargy, exercise intolerance and an irregular heart rhythm. He was diagnosed with atrial fibrillation, a complex ventricular arrhythmia and hypothyroidism. Echocardiography identified a nest of anomalous vessels surrounding the heart and shunting into the pulmonary artery. Computed tomography confirmed a coronary arteriovenous malformation consisting of a coronary-to-pulmonary arterial communication and an associated complex nest of tortuous vessels, which was thought to be an incidental finding. Clinical signs improved with levothyroxine and antiarrhythmic treatment. As well as describing an unusual coronary artery anomaly, this case serves as a reminder to critically evaluate the hemodynamic significance of structural cardiac disease and to screen for systemic disease in patients with arrhythmias.

AB - A four-year-old Japanese Akita was referred for investigation of lethargy, exercise intolerance and an irregular heart rhythm. He was diagnosed with atrial fibrillation, a complex ventricular arrhythmia and hypothyroidism. Echocardiography identified a nest of anomalous vessels surrounding the heart and shunting into the pulmonary artery. Computed tomography confirmed a coronary arteriovenous malformation consisting of a coronary-to-pulmonary arterial communication and an associated complex nest of tortuous vessels, which was thought to be an incidental finding. Clinical signs improved with levothyroxine and antiarrhythmic treatment. As well as describing an unusual coronary artery anomaly, this case serves as a reminder to critically evaluate the hemodynamic significance of structural cardiac disease and to screen for systemic disease in patients with arrhythmias.

KW - cardiac

KW - veterinary

KW - CT

KW - fistula

KW - atrial fibrillation

U2 - 10.1016/j.jvc.2019.01.005

DO - 10.1016/j.jvc.2019.01.005

M3 - Article

JO - Journal of Veterinary Cardiology

JF - Journal of Veterinary Cardiology

SN - 1760-2734

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