101. Intermittent Haemoptysis due to an Aortobronchial Fistula in a Warmblood Mare
- Author
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D. Vermeiren, Koen Chiers, Han Versnaeyen, Veronique Saey, and Richard Ducatelle
- Subjects
Aortic arch ,Hemoptysis ,Pathology ,medicine.medical_specialty ,040301 veterinary sciences ,Fistula ,Physical examination ,030204 cardiovascular system & hematology ,Thoracic aortic aneurysm ,Pathology and Forensic Medicine ,0403 veterinary science ,03 medical and health sciences ,Aortic aneurysm ,Pseudoaneurysm ,0302 clinical medicine ,Aneurysm ,medicine.artery ,medicine ,Animals ,Horses ,Aortic Aneurysm, Thoracic ,General Veterinary ,medicine.diagnostic_test ,business.industry ,04 agricultural and veterinary sciences ,medicine.disease ,Bronchial Fistula ,Surgery ,cardiovascular system ,Female ,Horse Diseases ,business - Abstract
A 7-year-old warmblood mare showed sudden onset of mild intermittent haemoptysis. Clinical examination revealed no significant abnormalities. Haematological examination showed mild anaemia, hypoalbuminaemia and neutrophilia. Coagulation tests were normal. Endoscopic examination revealed unilateral pulmonary haemorrhage with blood clots in the bronchi and trachea. Treatment with antibiotics was started and the horse was given stable rest. Two weeks later, the horse was found dead with blood and frothy sputum leaking from the nostrils. Post-mortem examination revealed a large thoracic aortic aneurysm communicating with a pseudoaneurysm that had formed a fistula into a right bronchial branch. Microscopical examination of the aneurysm showed extensive medial fibrosis with prominent degeneration, fragmentation and mineralization of the elastic fibres and deposition of mucoid material in the tunica media. The pseudoaneurysm was lined by collagen bundles admixed with fibroblasts and a small amount of adipose tissue. Aortobronchial fistula is a rare condition in man that is usually associated with primary aortic pathology, most often aneurysms. To the authors' knowledge this is the first case of a fatal aortobronchial fistula in a horse or any other animal species.
- Published
- 2016