Evaluation of the right ventricular function in dogs with brachycephalic syndrome before and after rhinoplasty

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Keywords

Cor pulmonale, pulmonary hypertension, pulmonary vascular resistance, echocardiogram

How to Cite

Hainfellner, D. C., dos Santos Filho, M., Alberigi, B., Bendas, A. J. R., Athar, C. do V. A., Lemos, N. M. de O. ., … Paiva, J. P. (2021). Evaluation of the right ventricular function in dogs with brachycephalic syndrome before and after rhinoplasty . Brazilian Journal of Veterinary Medicine, 43(1), e002120. https://doi.org/10.29374/2527-2179.bjvm002120

Abstract

Brachycephalic dogs are usually affected by primary and secondary anatomical changes in the airways that contribute to the brachycephalic syndrome. Chronically, these changes contribute to an increase in pulmonary arterial pressure and right cardiac overload (cor pulmonale). The right cardiac function in 17 dogs with brachycephalic syndrome was assessed using echocardiography before, and at 30 and 60 days after rhinoplasty. The maximum pulmonary systolic flow velocity, the pressure gradient between the AP and RV (GrFP), the right ventricular systolic function (tricuspid ring systolic excursion (TAPSE), the variation of the right ventricular area (FAC), the velocity of the systolic displacement of the right ventricular myocardium (S’) by tissue Doppler) and right ventricular diastolic function (transtricuspid flow and the relationship between the E and A waves, evaluation of the E’ and A’ waves using tissue Doppler of the free wall of the right ventricle) were evaluated. The right ventricular fractional area, velocity, and pressure gradient of pulmonary arterial flow showed the best sensitivity in these analyses. The present study reinforces the concept that obstructions in the anterior airways contribute to pulmonary hypoxia. However, the correction of these obstructions proved to be beneficial in the reduction of right heart overload.

https://doi.org/10.29374/2527-2179.bjvm002120
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References

Abd El-Moneim, E. S., Badawy, B. S., & Atya, M. (2009). The effect of adenoidectomy on right ventricular performance in children. International Journal of Pediatric Otorhinolaryngology, 73(11), 1584-1588. http:// dx.doi.org/10.1016/j.ijporl.2009.08.013. PMid:19733919.

Boon, J. A. (2011). Veterinary Echocardiography (3rd ed). Wiley-Blackwell.

Canola, R. A. M., Sousa, M. G., Braz, J. B., Restan, W. A. Z., Yamada, D. I., Silva Filho, J. C., & Camacho, A. A. (2018). Cardiorespiratory evaluation of brachycephalic syndrome in dogs. Pesquisa Veterinária Brasileira, 38(6), 1130-1136. http://dx.doi.org/10.1590/1678-5150-pvb-5376.

Carvalho, P. R., Cunha, R. D., & Barreto, S. S. (2002). Distribuição do fluxo sangüíneo pulmonar na bronquiolite viral aguda. Jornal de Pediatria, 78(2), 133-139. http://dx.doi.org/10.1590/S0021-75572002000200012. PMid:14647795.

Chetboul, V. Pulmonary Arterial Hypertension. In: Chetboul, V.; Bussadori, C.; Madron, E. Clinical Echocardiography of the Dog and Cat. 1. ed. Missouri: Elsevier, 2016. Cap. 14, p. 229-240.

Chetboul, V., Sampedrano, C. C., Gouni, V., Concordet, D., Lamour, T., Ginesta, J., Nicolle, A. P., Pouchelon, J. L., & Lefebvre, H. P. (2005). Quantitative assessment of regional right ventricular myocardial velocities in awake dogs by Doppler tissue imaging: Repeatability, reproducibility, effect of body weight and breed, and comparison with left ventricular myocardial velocities. Journal of Veterinary Internal Medicine, 19(6), 837- 844. http://dx.doi.org/10.1111/j.1939-1676.2005.tb02774.x. PMid:16355678.

Dupré, G., & Heidenreich, D. (2016). Brachycephalic Syndrome. The Veterinary Clinics of North America. Small Animal Practice, 46(4), 691-707. http://dx.doi.org/10.1016/j.cvsm.2016.02.002. PMid:27012936.

Koc, S., Aytekin, M., Kalay, N., Ozcetin, M., Burucu, T., Ozbek, K., Celik, A., Kadi, H., Gulturk, S., & Koc, F. (2012). The effect of adenotonsillectomy on right ventricle function and pulmonary artery pressure in children with adenotonsillar hypertrophy. International Journal of Pediatric Otorhinolaryngology, 76(1), 45-48. http:// dx.doi.org/10.1016/j.ijporl.2011.09.028. PMid:22000211.

Lira-Filho, E., Oliveira, W., Ponchirolli, A., Otani, F., Campos, O., Cintra, F., Poyares, D., & Tufik, S. (2009). Avaliação da função diastólica do ventrículo direito em pacientes com síndrome da apnéia-hipopnéia obstrutiva do sono, utilizando o doppler tecidual. Revista Brasileira de Ecocardiografia e Imagem Cardiovascular, 22(1), 16-22.

Madron, E. (2016) Evaluation of the right ventricular global systolic function. In V. Chetboul, C. Bussadori, E. Madron. Clinical Echocardiography of the Dog and Cat (1st ed., cap. 10, pp. 151-156). Missouri: Elsevier.

Meola, S. D. (2013). Brachycephalic airway syndrome. Topics in Companion Animal Medicine, 28(3), 91-96. http:// dx.doi.org/10.1053/j.tcam.2013.06.004. PMid:24182996.

Newton, W. L., & Wright, W. H. (1956). The occurrence of a dog filariid other than Dirofilaria immitis in the United States. The Journal of Parasitology, 42(3), 246-258. http://dx.doi.org/10.2307/3274849. PMid:13332492.

Oechtering, G. (2010). Brachycephalic syndrome-new information on an old congenital disease. Veterinary Focus, 20(2), 2-9. http://dx.doi.org/10.1055/s-0034-1381822.

Pariaut, R., Saelinger, C., Strickland, K. N., Beaufrère, H., Reynolds, C. A., & Vila, J. (2012). Tricuspid annular plane systolic excursion (TAPSE) in dogs: Reference values and impact of pulmonary hypertension. Journal of Veterinary Internal Medicine, 26(5), 1148-1154. http://dx.doi.org/10.1111/j.1939-1676.2012.00981.x. PMid:22860631.

Park, M. K., & Troxler, R. G. (2002). Pulmonary Hypertension in Pediatric Cardiology for Practitioners (4th ed.). Elsevier.

Poser, H., Berlanda, M., Monacolli, M., Contiero, B., Coltro, A., & Guglielmini, C. (2017). Tricuspid annular plane systolic excursion in dogs with myxomatous mitral valve disease with and without pulmonary hypertension. Journal of Veterinary Cardiology, 19(3), 228-239. http://dx.doi.org/10.1016/j.jvc.2017.03.007. PMid:28579307.

Pyle, R. L., Abbott, J., & MacLean, H. (2004). Pulmonary hypertension and cardiovascular sequelae in 54 dogs. International Journal of Applied Research in Veterinary Medicine, 2(2), 99-109.

Tidholm, A., Höglund, K., Häggström, J., & Ljungvall, I. (2015). Diagnostic value of selected echocardiographic variables to identify pulmonary hypertension in dogs with myxomatous mitral valve disease. Journal of Veterinary Internal Medicine, 29(6), 1510-1517. http://dx.doi.org/10.1111/jvim.13609. PMid:26365438.

Tilley, L. P. (2002). Manual de Cardiologia para Cães e Gatos (3rd ed.). Roca.

Vezzosi, T., Domenech, O., Costa, G., Marchesotti, F., Venco, L., Zini, E., Del Palacio, M. J. F., & Tognetti, R. (2018). Echocardiographic evaluation of the right ventricular dimension and systolic function in dogs with pulmonary hypertension. Journal of Veterinary Internal Medicine, 32(5), 1541-1548. http://dx.doi.org/10.1111/ jvim.15253. PMid:30216561.

Visser, L. C., Im, M. K., Johnson, L. R., & Stern, J. A. (2016). Diagnostic value of right pulmonary artery distensibility index in dogs with pulmonary hypertension: Comparison with Doppler echocardiographic estimates of pulmonary arterial pressure. Journal of Veterinary Internal Medicine, 30(2), 543-552. http://dx.doi.org/10.1111/ jvim.13911. PMid:26893108.

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Copyright (c) 2021 Daniel Carvalho Hainfellner, Mário dos Santos Filho, Bruno Alberigi, Alexandre José Rodrigues Bendas, Carolina do Valle Aben Athar, Nathalia Marques de Oliveira Lemos, Karen Denise da Silva Macambira Barbosa, Juliana Silva do Carmo, Ana Maria de Barros Soares, Aguinaldo Francisco Mendes Junior, Cristiano Chaves Pessoa da Veiga, Daniel de Almeida Balthazar, Jonimar Pereira Paiva