Analyze Diet
The Journal of veterinary medical science2021; 83(8); 1225-1228; doi: 10.1292/jvms.21-0221

A bronchopulmonary artery fistula in a horse.

Abstract: A 24-year-old, Thoroughbred gelding presented with difficulty breathing for a few days and intermittent nose bleeding before dying. At necropsy, the bronchoesophageal artery and the bronchial artery that flowed into the left anterior lobe were tortuous and dilated, and it was found that dilated tortuous branches of the bronchial artery ran over the dorsal and ventral surfaces of the left anterior lobe. Histopathologically, an anastomosis between a muscular artery and an elastic artery were demonstrated, which were identified as bronchial and pulmonary arteries, respectively. Based on the gross and histopathological findings, a bronchopulmonary artery fistula was diagnosed. To the best of our knowledge, this is the first case report of a pulmonary vascular anastomosis in a horse.
Publication Date: 2021-06-10 PubMed ID: 34108306PubMed Central: PMC8437714DOI: 10.1292/jvms.21-0221Google Scholar: Lookup
The Equine Research Bank provides access to a large database of publicly available scientific literature. Inclusion in the Research Bank does not imply endorsement of study methods or findings by Mad Barn.
  • Case Reports
  • Journal Article

Summary

This research summary has been generated with artificial intelligence and may contain errors and omissions. Refer to the original study to confirm details provided. Submit correction.

This study reports a unique case of bronchopulmonary artery fistula in a horse, which was encountered after the horse had died of complications caused by the same. The findings of this study are based on the necropsy and histopathological examination of the horse.

Background

  • The study involves a clinical case of an older Thoroughbred gelding, characterized by breathing difficulties and occasional nose bleeding. Despite the symptoms persisting for a few days, the horse unfortunately died.

Necropsy Findings

  • The necropsy, which is a post-mortem examination, revealed some abnormal conditions in the horse’s bronchoesophageal artery and the bronchial artery that flowed into the left anterior lobe. These arteries were found to be both tortuous (twisted) and dilated (widened), which isn’t normal.
  • It was also found that the dilated and tortuous extensions of the bronchial artery covered both the dorsal and ventral surfaces of the left anterior lobe.

Microscopic Findings

  • Upon histopathological examination, an unusual connection, or anastomosis, was identified between a muscular artery (the bronchial artery) and an elastic artery (the pulmonary artery). This unusual connection, typically identified as a bronchopulmonary artery fistula, was the primary matter of concern.

Conclusion

  • This study’s findings, based on the gross and histopathological evaluations, led to the diagnosis of the bronchopulmonary artery fistula. As per the researchers’ knowledge, this is the first-ever reported case highlighting the presence of a pulmonary vascular anastomosis—an abnormal connection between blood vessels—in a horse.

Cite This Article

APA
Sano Y, Kuwajima H, Kanai H, Baba C, Azami K, Matsuda K. (2021). A bronchopulmonary artery fistula in a horse. J Vet Med Sci, 83(8), 1225-1228. https://doi.org/10.1292/jvms.21-0221

Publication

ISSN: 1347-7439
NlmUniqueID: 9105360
Country: Japan
Language: English
Volume: 83
Issue: 8
Pages: 1225-1228

Researcher Affiliations

Sano, Yuto
  • Department of Veterinary Pathology, School of Veterinary Medicine, Rakuno Gakuen University, Ebetsu, Hokkaido 069-8501, Japan.
Kuwajima, Hikaru
  • Department of Veterinary Pathology, School of Veterinary Medicine, Rakuno Gakuen University, Ebetsu, Hokkaido 069-8501, Japan.
Kanai, Hiroki
  • Department of Veterinary Pathology, School of Veterinary Medicine, Rakuno Gakuen University, Ebetsu, Hokkaido 069-8501, Japan.
Baba, Chiemi
  • Department of Veterinary Pathology, School of Veterinary Medicine, Rakuno Gakuen University, Ebetsu, Hokkaido 069-8501, Japan.
Azami, Kohei
  • Department of Veterinary Pathology, School of Veterinary Medicine, Rakuno Gakuen University, Ebetsu, Hokkaido 069-8501, Japan.
Matsuda, Kazuya
  • Department of Veterinary Pathology, School of Veterinary Medicine, Rakuno Gakuen University, Ebetsu, Hokkaido 069-8501, Japan.

MeSH Terms

  • Animals
  • Bronchi
  • Bronchial Arteries
  • Fistula / veterinary
  • Horse Diseases
  • Horses
  • Lung
  • Male
  • Pulmonary Artery

References

This article includes 14 references
  1. Bradley SM. Morphological studies of pulmonary arteriovenous shunting in a lamb model of superior cavopulmonary anastomosis.. Pediatr Cardiol 2008 Jul;29(4):701-3.
    doi: 10.1007/s00246-008-9219-ypubmed: 18385920google scholar: lookup
  2. Caswell JF, Williams KJ. Respiratory system. 2016. pp. 465–589. In: Jubb, Kennedy, and Palmer’s Pathology of Domestic Animals, Vol. 2, 6th ed..
  3. Cullen JM, Stalker MJ. Liver and Biliary System. 2016. pp. 258–352. In: Jubb, Kennedy, and Palmer’s Pathology of Domestic Animals, Vol. 2, 6th ed..
  4. David JS, McCullagh KG. A case of spermatic arteriovenous anastomosis in the horse.. Equine Vet J 1978 Apr;10(2):94-6.
  5. Gossage JR, Kanj G. Pulmonary arteriovenous malformations. A state of the art review.. Am J Respir Crit Care Med 1998 Aug;158(2):643-61.
    doi: 10.1164/ajrccm.158.2.9711041pubmed: 9700146google scholar: lookup
  6. Kato M, Morio Y, Matsunaga T, Shiraishi A, Uekusa T, Takahashi K. Bronchial-pulmonary arterial fistula with primary racemose hemangioma.. Respirol Case Rep 2016 Apr;4(2):e00148.
    pmc: PMC4818582pubmed: 27081488doi: 10.1002/rcr2.148google scholar: lookup
  7. Matsubara Y, Morisaki K, Matsuda D, Aoyagi Y, Tanaka S, Okadome J, Fukunaga R, Matsumoto T, Maehara Y. Thoracic endovascular aortic repair and coil embolization of the pulmonary artery for primary racemose hemangioma of the bronchial artery with a bronchial-pulmonary artery fistula.. Vascular 2015 Aug;23(4):436-9.
    doi: 10.1177/1708538114551196pubmed: 25245045google scholar: lookup
  8. Njoku CO, Henry JD, Cook JE, Guffy MM. Pulmonary vascular hamartoma in a dog.. J Am Vet Med Assoc 1972 Aug 15;161(4):378-81.
    pubmed: 5046923
  9. Parks AH, Guy BL, Rawlings CA, Constantino MJ. Lameness in a mare with signs of arteriovenous fistula.. J Am Vet Med Assoc 1989 Feb 1;194(3):379-80.
    pubmed: 2917907
  10. Piripi S, Hustace J, Carney KR, Heidel JR, Löhr CV. Pulmonary arteriovenous malformation in two adult alpacas (Vicugna pacos).. J Vet Diagn Invest 2012 Jan;24(1):198-201.
    doi: 10.1177/1040638711425938pubmed: 22362954google scholar: lookup
  11. Walker CM, Rosado-de-Christenson ML, Martínez-Jiménez S, Kunin JR, Wible BC. Bronchial arteries: anatomy, function, hypertrophy, and anomalies.. Radiographics 2015 Jan-Feb;35(1):32-49.
    doi: 10.1148/rg.351140089pubmed: 25590386google scholar: lookup
  12. Welch RD, Dean PW, Miller MW. Pulsed spectral Doppler evaluation of a peripheral arteriovenous fistula in a horse.. J Am Vet Med Assoc 1992 May 1;200(9):1360-2.
    pubmed: 1601724
  13. Wilson WD, Lofstedt J, Lakritz J. Epistaxis and hemoptysis. 2015. pp. 53–56. In: Large Animal Internal Medicine, 5th ed..
  14. Yon JR, Ravenel JG. Congenital bronchial artery-pulmonary artery fistula in an adult.. J Comput Assist Tomogr 2010 May-Jun;34(3):418-20.
    doi: 10.1097/RCT.0b013e3181d1e96epubmed: 20498547google scholar: lookup

Citations

This article has been cited 0 times.