BSAVA Companion - How To - October 2012

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P ericardial effusion (PE) is the accumulation of fluid within the pericardial sac (Figure 1). Investigation as to the cause of the PE, as well as its drainage, are essential to allow specific treatment and accurate assessment of prognosis. Most commonly, the fluid appears serosanguineous, although in some cases it may be a clear transudate, whole blood, chyle, or a septic exudate. In dogs, PE is primarily caused by neoplastic disease, with right atrial haemangiosarcoma (Figure 2) representing the most common tumour. Other neoplastic causes of PE in dogs are heart base tumours (chemodectomas), mesothelioma and lymphoma. Left atrial tears, infections, haemorrhage, trauma and foreign bodies are other less common causes of PE. When a primary cause cannot be identified, the effusion is termed ‘idiopathic’. In cats, PE is less commonly observed and is usually the result of congestive heart failure or feline infectious peritonitis, although other more rare aetiologies have also been reported.

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تاریخ انتشار 2012