Two-dimensional echocardiographically guided pericardiocentesis in a horse with traumatic pericarditis.

Abstract

Two-dimensional echocardiographic (2DE) examination was performed on a horse with clinical signs of pericardial effusion. Thickening of the pericardium, excess amount of pericardial fluid, elevation of the cardiac apex, and right ventricular compression, characteristic of cardiac tamponade, could be seen on 2DE recordings. Fibrinous pericarditis was suspected by observation of fibrinous strands in the pericardial fluid and epicardial fibrin deposits. Echocardiographically guided pericardiocentesis was performed, and 4 L of fluid was removed from the pericardial sac. Streptococcus zooepidemicus was isolated from the fluid. Pericardiocentesis was repeated for 3 days, and medication was administered. Despite temporary improvement in cardiac function, the horse's condition deteriorated gradually, and euthanasia was performed on the ninth day of hospitalization. Necropsy revealed chronic serofibrinous pericarditis of traumatic origin, attributable to an intercostal stab wound entering the pericardium and the apical portion of the myocardium.