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Radial Artery Pseudoaneurysm in a Maine Coon Cat.

Hall JL, Lee KC, Priestnall S, Lamb CR. Department of Veterinary Clinical Sciences, The Royal Veterinary College, North Mymms, UK Department of Pathology and Infectious Diseases, The Royal Veterinary College, North Mymms, UK. Vet Surg 2011 October 40 7 861-864
Objective: To report the diagnosis and treatment of a radial artery pseudoaneurysm in a cat. Study Design: Clinical report. Animal: Maine Coon cat (8-year-old neutered male). Methods: Ultrasonographic and angiographic examination of a fluctuant, nonpainful, 3 cm × 1.5 cm subcutaneous swelling on the craniomedial distal aspect of the right radius that occurred 40 days after suspected cat bite trauma was consistent with a radial artery pseudoaneurysm. After ligation of the radial artery proximal to the lesion, the pseudoaneurysm was surgically excised. Results: The excised tissue had hemorrhage and fibrin surrounded by a thick fibrous granulating capsule of variably mature fibroblasts and focal areas of inflammatory cells (lymphocytes, plasma cells, and macrophages) consistent with a pseudoaneurysm. Surgical excision resulted in resolution of clinical signs. Conclusions: Ultrasonography enabled prompt, noninvasive diagnosis of pseudoaneurysm. Angiography or computed tomography may be useful to aid diagnosis and assess the collateral blood supply to the manus before surgical treatment.

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