Adrenalectomy and caval thrombectomy in a cat with primary hyperaldosteronism

A 13-year-old, castrated male, domestic longhaired cat was diagnosed with primary hyperaldosteronism from an adrenal gland tumor and a thrombus in the caudal vena cava. Clinical signs included cervical ventriflexion, lethargy, weakness, inappetence, and diarrhea. Laboratory tests revealed hypokalemi...

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Bibliographic Details
Published in:	The Journal of the American Animal Hospital Association Vol. 43; no. 4; p. 209
Main Authors:	Rose, Scott A, Kyles, Andrew E, Labelle, Philippe, Pypendop, Bruno H, Mattu, Jas S, Foreman, Oded, Rodriguez, Jr, Carlos O, Nelson, Richard W
Format:	Journal Article
Language:	English
Published:	United States 01-07-2007
Subjects:	Adrenal Gland Neoplasms - surgery Adrenal Gland Neoplasms - veterinary Adrenalectomy - methods Adrenalectomy - veterinary Animals Cat Diseases - surgery Cats Hyperaldosteronism - surgery Hyperaldosteronism - veterinary Male Thrombectomy - methods Thrombectomy - veterinary Treatment Outcome Venae Cavae - surgery
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Summary:	A 13-year-old, castrated male, domestic longhaired cat was diagnosed with primary hyperaldosteronism from an adrenal gland tumor and a thrombus in the caudal vena cava. Clinical signs included cervical ventriflexion, lethargy, weakness, inappetence, and diarrhea. Laboratory tests revealed hypokalemia, normonatremia, hyperglycemia, hypophosphatemia, and elevated creatine kinase activity. Hypokalemia worsened despite oral potassium supplementation. An adrenalectomy and caval thrombectomy were successfully performed utilizing deliberate hypothermia followed by progressive rewarming.
ISSN:	1547-3317
DOI:	10.5326/0430209