Cited by 13Pulmonary Hypertension Research and TreatmentsMollusks and Parasites StudiesHelminth infection and control

Pulmonary arterial response to Angiostrongylus vasorum in naturally infected dogs: Echocardiographic findings in two cases

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Corda, Andrea, Carta, Silvia, Varcasia, Antonio, Tamponi, Claudia, Evangelisti, Maria Antonietta, Scala, Antonio, Pinna Parpaglia, Maria Luisa·2019·Parasites & Vectors

Abstract

BACKGROUND: Angiostrongylus vasorum is a nematode living in the pulmonary arteries of canids. Infected dogs develop severe pulmonary lesions which can potentially lead to pulmonary hypertension (PH). However, reports of PH in natural infected dogs are scant. One of the possible causes of the low prevalence of PH in A. vasorum-infected dogs could be the establishment of large diameter intrapulmonary arteriovenous anastomoses (IPAVAs), which attenuate pulmonary vascular resistance, thus reducing the pulmonary arterial pressure. The present report describes the pulmonary arterial pressure (PAP) response to A. vasorum natural infection in two dogs, assessed by echocardiography and by the saline contrast echocardiographic test (SCE). RESULTS: Both dogs showed clinical signs of respiratory disease. At presentation, case 1 did not show echocardiographic signs of PH and the SCE test was positive proving the presence of IPAVAs. However, at the follow-up visit, despite A. vasorum infection resolution, the same dog showed PH and the SCE test resulted negative, which ruled out the presence of IPAVAs. Case 2 suffered from severe pulmonary arterial hypertension and right-side congestive heart failure since the day of presentation. Saline contrast echocardiography was negative both at the time of presentation and at the follow-up visit. CONCLUSIONS: In the two cases described above, the PH was not associated with IPAVAs. During A. vasorum infection, IPAVAs recruitment mechanism is able to contrast the rise of PAP until a certain level. It probably represents an initial escape mechanism of PH that, over time, exhausts its compensatory capacities allowing PAP to rise and to be detectable on echocardiography.

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Authors
Corda, A., Carta, S., Varcasia, A., Tamponi, C., Evangelisti, M. A., Scala, A., & Pinna Parpaglia, M. L.
Affiliations
University of Sassari (IT)
Corresponding author
Varcasia, Antonio
Venue
Parasites & Vectors
Published
2019-06-04
Volume
12
Issue
1
Pages
286-286
ISSN
1756-3305 (ISSN-L)
OpenAlex
W2948507184
Cited by
13
References
52
Citations by year
2026: 1 · 2024: 2 · 2023: 3 · 2022: 1 · 2021: 5 · 2020: 1
FWCI
1.29
Type
journal article
Language
en
Open access
Locations
  • Parasites & Vectors (publishedVersion, cc-by)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • UnissResearch (Università degli Studi di Sassari) (submittedVersion, cc-by)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
Funders
Università degli Studi di Sassari
Topics
  • Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Pulmonary Hypertension Research and Treatments
  • Life Sciences › Agricultural and Biological Sciences › Insect Science › Mollusks and Parasites Studies
  • Health Sciences › Veterinary › Small Animals › Helminth infection and control
Keywords
Angiostrongylus vasorum, canine angiostrongylosis, pulmonary arterial hypertension, pulmonary artery pressure, saline contrast echocardiography, right-sided congestive heart failure, compensatory mechanisms, dogs
MeSH terms
Angiostrongylus, Animals, Dog Diseases, Dogs, Echocardiography, Female, Hypertension, Pulmonary, Pulmonary Artery, Strongylida Infections, Arterial Pressure

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