Left atrial appendage rupture due to blunt chest trauma in an Eurasian otter (Lutra lutra)

Authors

  • Mariarita Romanucci Faculty of Veterinary Medicine, University of Teramo, Italy
  • Romina Fusillo LUTRIA snc, Wildlife Research and Consulting, Italy
  • Manlio Marcelli LUTRIA snc, Wildlife Research and Consulting, Italy
  • Marcella Massimini Faculty of Veterinary Medicine, University of Teramo, Italy
  • Daniela Malatesta Faculty of Veterinary Medicine, University of Teramo, Italy
  • Laura Bongiovanni Faculty of Veterinary Medicine, University of Teramo, Italy
  • Leonardo Della Salda Faculty of Veterinary Medicine, University of Teramo, Italy

DOI:

https://doi.org/10.12834/VetIt.872.4309.2

Keywords:

Atrial appendage, Blunt trauma, Eurasian otter, Heart, Rupture

Abstract

An adult male Eurasian otter, found dead on the roadside, was submitted for post-mortem examination in April 2014 at the Veterinary Pathology Unit of the Faculty of Veterinary Medicine of Teramo, as part of the RECAL [RECovery and post mortem Analysis of Eurasian otters (Lutra lutra) in the National Park of Cilento, Vallo di Diano and Alburni (Salerno, Italy), and surrounding areas] project. Necropsy revealed an abundant hemothorax associated with multifocal, bilateral pulmonary contusions and lacerations, and a severe hemopericardium characterised by the presence of a wide blood clot in the intact pericardial sac. Two small laceration wounds of the left auricle were found at the base, along the atrioventricular groove, and on the outer free wall. Since myocardial and endocardial tissues showed no other gross and histopathological abnormalities, a left atrial appendage rupture resulting from a blunt chest trauma was diagnosed. Blunt traumatic cardiac rupture is a rarely reported, life-threatening condition in humans. To the best of our knowledge, this is the first report on a left atrial appendage rupture due to blunt chest trauma in veterinary literature. The possible occurrence of a cardiac rupture following a blunt thoracic injury should be taken into consideration in veterinary emergency care.

References

Hezzell M.J., Dennis S., Lewis D.H. & Fuentes V.L. 2011. Gerbode defect associated with blunt trauma in a dog. J Vet Cardiol, 13, 141-146.

Leavitt B.J., Meyer J.A., Morton J.R., Clark D.E., Herbert W.E. & Hiebert C.A. 1987. Survival following nonpenetrating traumatic rupture of cardiac chambers. Ann Thorac Surg, 44, 532-535.

Miller L.M., Keirstead N.D. & Snyder P.S. 2004. Traumatic mitral valve avulsion from the annulus fibrosis producing acute left heart failure in a dog. Can Vet J, 45, 761-763.

Reineke E.L., Burkett D.E. & Drobatz K.J. 2008. Left atrial rupture in dogs: 14 cases (1990-2005). J Vet Emerg Crit Care, 18, 158–164.

Ryu D.W., Lee S.Y. & Lee M.K. 2013. Rupture of the left atrial roof due to blunt trauma. Interact Cardiovasc Thorac Surg, 17, 912-913.

Salam M.M. & Frauenhoffer E.E. 1996. Left atrial appendage rupture caused by a seat belt: a case report and review of the literature. J Trauma, 40, 642-643.

Salci H., Bayram A.S., Celimli N., Caliskan G.U., Gorgul O.S. & Kramer M. 2010. Evaluation of thoracic trauma in dogs and cats: a review of seventeen cases. Iran J Vet Res, 11, 325-331.

Salooja M.S., Singla M., Srivastava A. & Mukherjee K.C. 2013. Isolated tear in left atrial appendage due to blunt trauma chest: A rare case report. J Saudi Heart Assoc, 25, 95-97.

Shalaby R.I., Rajendran U. & Regunathan R. 1999. Blunt traumatic rupture of the heart: case report and selected review. Ann Thorac Cardiovasc Surg, 5, 123–129.

Tanoue K., Sata N., Moriyama Y. & Miyahara K. 2008. Rupture of the left atrial ‘basal’ appendage due to blunt trauma in an elderly patient. Eur J Cardiothorac Surg, 34, 1118-1119.

Downloads

Published

2019-10-11

How to Cite

Romanucci, M., Fusillo, R., Marcelli, M., Massimini, M., Malatesta, D., Bongiovanni, L., & Della Salda, L. (2019). Left atrial appendage rupture due to blunt chest trauma in an Eurasian otter (Lutra lutra). Veterinaria Italiana, 55(3), 275–278. https://doi.org/10.12834/VetIt.872.4309.2

Issue

Topics*

Short communication