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  4. ECVS - Annual Scientific Meeting - Italy, 2013
  5. Thoracoscopy Persistent Right Aortic Arch and PDA
European College of Veterinary Surgery
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Thoracoscopy Persistent Right Aortic Arch and PDA

Author(s):
Monnet E.
In: ECVS - Annual Scientific Meeting - Italy, 2013 by European College of Veterinary Surgeons
Updated:
JUL 06, 2013
Languages:
  • EN
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    Read

    Thoracoscopy is being more and more frequently in veterinary surgery to treat several conditions. Thoracoscopy has been used to transect the ligamentum arteriosum during the persistence of the 4th right aortic arch or ligate a patent ductus arteriosus.

    Presistent Right Aortic Arch Approach
    To perform minimally invasive PRAA correction the patient is placed in right lateral recumbency. Four portals will be required. Three portals are placed in the 7 or 8th intercostal space and the fourth cannula is placed in the one intercostal cranial in the ventral third of the space. A retractor or a palpation probe used as a retractor will be introduced in that portal.

    Equipment Used
    Five millimeters equipment can be used for the procedure. However, since most of the dogs are very young and less than 8 kg a pediatric set of equipment is more appropriate. Pediatric equipment is usually 2.7 mm in diameter. Five millimeter diameter cannulas are difficult to place in the intercostal space. One 5 mm cannula will still be need for introduction of vascular clip or vessel sealant device.

    Surgical Technique
    The left cranial lung lobe is retracted ventrally to expose the cranial mediastinum and the heart base. The first step of the procedure is to localize the ligamentum arteriosum. Usually the esophagus is fairly dilated and a narrowing can be noticed at the level of the base of the heart. A stomach tube can be placed in the esophagus to improve visualization of the ligamentum arteriosum. A palpation probe is used to further localize the ligamentum arteriosum.  [...]

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    About

    How to reference this publication (Harvard system)?

    Monnet, E. (2013) “Thoracoscopy Persistent Right Aortic Arch and PDA”, ECVS - Annual Scientific Meeting - Italy, 2013. Available at: https://www.ivis.org/library/ecvs/ecvs-annual-scientific-meeting-italy-2013/thoracoscopy-persistent-right-aortic-arch-and-pda (Accessed: 25 March 2023).

    Author(s)

    • Eric Monnet

      Monnet E.

      Professor Small Animal Surgery
      DVM, PhD FAHA Dipl ACVS Dipl ECVS
      Department of Clinical Sciences, Colorado State University
      Read more about this author

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