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Journal of the American Animal Hospital Association 43:209-214 (2007)
© 2007 American Animal Hospital Association

Case Report

Adrenalectomy and Caval Thrombectomy in a Cat With Primary Hyperaldosteronism

Scott A. Rose, DVM, Andrew E. Kyles, BVMS, PhD, Diplomate ACVS, Philippe Labelle, DVM, Bruno H. Pypendop, DVM, Diplomate ACVA, Jas S. Mattu, DVM, Oded Foreman, DVM, Carlos O. Rodriguez, Jr., DVM, PhD and Richard W. Nelson, DVM, Diplomate ACVIM

From the Department of Surgical and Radiological Sciences (Rose, Kyles, Pypendop, Foreman, Rodriguez) and the Department of Medicine and Epidemiology (Nelson), Veterinary Medical Teaching Hospital, School of Veterinary Medicine, University of California – Davis, One Shields Avenue, Davis, California 95616; Antech Diagnostics (Labelle), 1111 Marcus Avenue, Suite M28, Lake Success, New York 11042; and the University Veterinary Hospital (Mattu), 810 University Avenue, Berkeley, California 94710.

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.






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Copyright © 2007 by the American Animal Hospital Association.