Surgical treatment of a persistent right aortic arch with concurrent patent ductus arteriosus in a 4-month-old German shepherd dog

Abstract

A 4-month-old intact female German shepherd dog was presented with a history of postprandial regurgitation, a palpably distended cervical oesophagus after eating, and poor weight gain despite a ravenous appetite. Computed tomography angiography, esophagoscopy and echocardiography identified a persistent right aortic arch with a concurrent patent ductus arteriosus (PDA) causing extraluminal oesophageal compression leading to marked segmental megaoesophagus. A heart murmur was not detectable. A left lateral thoracotomy was performed to ligate and transect the PDA without complication. The dog was discharged with mild aspiration pneumonia which resolved with antimicrobial therapy. Twelve months post-surgery the owners reported no regurgitation.