Vascular ring anomalies in cats: 20 cases (2000‐2018)

• Published in: Veterinary surgery 2020-02, Vol.49 (2), p.265-273
• Main Authors: Bascuñán, Ana, Regier, Penny J., Case, J. Brad, Singh, Ameet, Balsa, Ingrid, Flanders, James, Thieman‐Mankin, Kelley, Ham, Kathleen M.
• Format: Article
• Language: English
• Subjects: Anomalies; Aorta; Aortic arch; Cats; Complications; Diagnostic systems; Discharge; Family medical history; Medical records; Megaesophagus; Regurgitation; Survival
• ISSN: 0161-3499; 1532-950X
• DOI: 10.1111/vsu.13327

Objective To report the clinical characteristics, types of vascular ring anomalies (VRA), operative findings, complications, and survival after surgical treatment of cats with VRA. Study design Retrospective, multi‐institutional case series. Animals Client‐ or shelter‐owned cats presenting to academic, referral veterinary institutions. Methods Medical records of cats with VRA that underwent surgical treatment were reviewed. Signalment, relevant medical history, clinical signs, diagnostic imaging, surgical findings, complications, and survival were recorded. Results Twenty cats with VRA were included. Vascular ring anomalies were most commonly (75% [15/20]) diagnosed in cats less than 1 year old, with no breed or sex predilection. Regurgitation was the most common clinical sign, present in 18 of 20 (90%) cats. A persistent right aortic arch was diagnosed in 17 of 20 (85%) cats, with concurrent aberrant left subclavian artery in four of the cats. Surgical treatment was associated with survival to discharge in 18 of 20 (90%) cats. Persistent clinical signs were reported in nine of 13 (69%) cats, and radiographic evidence of megaesophagus persisted in four of 13 (31%) cats, with a median follow‐up of 275 days after discharge. Conclusion Persistent right aortic arch was the most commonly diagnosed VRA in cats in this series, although multiple anomalies were observed. Surgical treatment of VRA in cats was associated with a high survival to discharge, although persistence of clinical signs and megaesophagus was noted in 69% and 31% of the cats, respectively. Clinical significance Surgical treatment of VRA in cats is associated with a high survival rate; however, persistence of clinical signs is an expected outcome.