Pulmonary interstitial emphysema and spontaneous pneumomediastinum are more prevalent in sighthounds than other dog breeds undergoing thoracic CT.

CT Greyhound Macklin barotrauma effect

Journal

Veterinary radiology & ultrasound : the official journal of the American College of Veterinary Radiology and the International Veterinary Radiology Association
ISSN: 1740-8261
Titre abrégé: Vet Radiol Ultrasound
Pays: England
ID NLM: 9209635

Informations de publication

Date de publication:
15 Apr 2024
Historique:
revised: 26 02 2024
received: 19 11 2023
accepted: 01 04 2024
medline: 16 4 2024
pubmed: 16 4 2024
entrez: 16 4 2024
Statut: aheadofprint

Résumé

Spontaneous pneumomediastinum is an uncommon condition described in veterinary medicine with concurrent respiratory disease. It can be caused by the Macklin effect, which is when gas leaks from the alveoli into the surrounding interstitial lung tissue. Pulmonary interstitial emphysema (PIE) is the presence of gas within the pulmonary vascular sheaths and indicates the presence of the Macklin effect. In the authors' experience, spontaneous pneumomediastinum and PIE are more prevalent in sighthound dogs than in other breeds and are often considered incidental findings. This retrospective, observational, cross-sectional study compared the prevalence of PIE and subsequent pneumomediastinum in sighthound with other purebred dogs. It characterized the appearance of PIE in CT and analyzed a possible association with concomitant pulmonary pathologies or with the use of general anesthesia. Medical records and thoracic CTs of sighthounds and nonsighthound dogs from two institutions were reviewed. A total of 256 dogs, comprising 127 sighthounds and 129 other purebred dogs, were included. The prevalence of PIE and pneumomediastinum was statistically higher in sighthound (14.2%) compared with other nonsighthound dogs (2.2%). There was no statistical association between the presence of PIE and pneumomediastinum with different age and weight groups or with sex. There was no statistical difference in the prevalence of PIE and pneumomediastinum between dogs with and without pulmonary pathology or in dogs undergoing CT with sedation or general anesthesia. Spontaneous pneumomediastinum in sighthounds is more prevalent than in other breeds, and its prevalence is not associated with the presence of pulmonary pathology or the use of general anesthesia.

Identifiants

pubmed: 38622814
doi: 10.1111/vru.13369
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Informations de copyright

© 2024 American College of Veterinary Radiology.

Références

van Broek A. Pneumomediastinum in seventeen dogs: etiology and radiographic signs. J Small Anim Pract. 1986;27(11):747‐757. doi:10.1111/j.1748‐5827.1986.tb02117.x
Kouritas VK, Papagiannopoulos K, Lazaridis G, et al. Pneumomediastinum. J Thorac Dis. 2015;7:S44‐S49. doi:10.3978/j.issn.2072‐1439.2015.01.11. Suppl 1
Hamman L. A note on the mechanism of spontaneous pneumothorax. Ann Intern Med. 1939;13(6):923. doi:10.7326/0003‐4819‐13‐6‐923
Macklin MT, Macklin CC. Malignant interstitial emphysema of the lungs and mediastinum as an important occult complication in many respiratory diseases and other conditions. Medicine (Baltimore). 1944;23(4):281‐358. doi:10.1097/00005792‐194412000‐00001
Bertolini G, Stefanello C, Caldin M. Imaging diagnosis‐pulmonary interstitial emphysema in a dog. Vet Radiol Ultrasound. 2009;50(1):80‐82. doi:10.1111/j.1740‐8261.2008.01494.x
Belletti A, Pallanch O, Bonizzoni MA, et al. Clinical use of Macklin‐like radiological sign (Macklin effect): A systematic review. Respir Medi. 2023;210:107178. doi:10.1016/j.rmed.2023.107178
Maccarrone V, Liou C, D'souza B, et al. The Macklin effect closely correlates with pneumomediastinum in acutely ill intubated patients with COVID‐19 infection. Clin Imaging. 2023;97:50‐54. doi:10.1016/j.clinimag.2023.03.003
Thoongsuwan N, Stern EJ. Pulmonary interstitial emphysema. Curr Probl Diagn Radiol. 2002;31(2):63‐64. doi:10.1067/mdr.2002.122855
Jones BR, Bath ML, Wood AK. Spontaneous pneumomediastinum in the racing greyhound. J Small Anim Pract. 1975;16(1‐12):27‐32. doi:10.1111/j.1748‐5827.1975.tb05712.x
Agut A, Talavera J, Buendia A, Anson A, Santarelli G, Gomez S. Imaging diagnosis‐spontaneous pneumomediastinum secondary to primary pulmonary pathology in a dalmatian dog. Vet Radiol Ultrasound. 2014;56(5):E54‐E57. doi:10.1111/vru.12223
Asorey I, Pellegrini L, Canfrán S, Ortiz‐Díez G, Aguado D. Factors affecting respiratory system compliance in anaesthetized mechanically ventilated healthy dogs: a retrospective study. J Small Anim Pract. 2020;61(10):617‐623. doi:10.1111/jsap.13194
Corcoran BM. Static respiratory compliance in normal dogs. J Small Anim Pract. 1991;32(9):438‐442. doi:10.1111/j.1748‐5827.1991.tb00981.x
Jeusette I, Greco D, Aquino F, et al. Effect of breed on body composition and comparison between various methods to estimate body composition in dogs. Res Vet Sci. 2010;88(2):227‐232. doi:10.1016/j.rvsc.2009.07.009
Morgan CT, Kanne JP, Lewis EE, Maloney JD, DeCamp MM, McCarthy DP. One hundred cases of primary spontaneous pneumomediastinum: leukocytosis is common, pleural effusions and age over 40 are rare. J Thorac Dis. 2023;15(3):1155‐1162. doi:10.21037/jtd‐22‐1136
Tobushi T, Hosokawa K, Matsumoto K. Exercise‐induced pneumomediastinum. Int J Emerg Med. 2015;8:43. doi:10.1186/s12245‐015‐0089‐9
Kumeda H, Saito G. Spontaneous pneumomediastinum diagnosed by the Macklin effect. Journal of surgical case reports. 2022;2022(1):rjab634. doi:10.1093/jscr/rjab634
Paternoster G, Belmonte G, Scarano E, et al. Macklin effect on baseline chest CT scan accurately predicts barotrauma in COVID‐19 patients. Respir Med. 2022;197:106853. doi:10.1016/j.rmed.2022.106853
Macia I, Moya J, Ramos R, et al. Spontaneous pneumomediastinum: 41 cases. Eur J Cardiothorac Surg. 2007;31(6):1110‐1114. doi:10.1016/j.ejcts.2007.03.008
Casadiego Monachello FJ, de la Torre Terron MC, Mendez Barraza JA, Casals Vila S. Macklin effect as an early radiological predictor of barotrauma in ARDS COVID‐19 patients in invasive mechanical ventilation. Medicina Intensiva (English Edition). 2023;47(4):235‐236. doi:10.1016/j.medine.2022.09.005
Raimondi AC, Massarella GR, Pride NB. The effects of ventilation on the elastic recoil of excised dogs’ lungs. Respir Physiol. 1971;12(2):205‐217. doi:10.1016/0034‐5687(71)90053‐3
Sakai M, Murayama S, Gibo M, Akamine T, Nagata O. Frequent cause of the Macklin effect in spontaneous pneumomediastinum. J Comput Assist Tomogr. 2006;30(1):92‐94. doi:10.1097/01.rct.0000187416.07698.8d

Auteurs

César Sánchez Jiménez (C)

Department of Diagnostic Imaging, Lumbry Park Veterinary Specialists (CVS Group plc), Alton, UK.

Imogen Schofield (I)

CVS Group plc, Norfolk, UK.

Mark Plested (M)

Department of Diagnostic Imaging, Lumbry Park Veterinary Specialists (CVS Group plc), Alton, UK.

Classifications MeSH