2017 年 50 巻 2 号 p. 73-78
A 13-year-old miniature pinscher with mitral valve insufficiency was planned to perform mitral valve plasty (MVP). However, pancreatitis was complicated before surgery. Four days after medical therapy, MVP with cardiopulmonary bypass (CPB) was performed, because clinical symptom calmed down. Although subclinical pancreatic cellular injury occurred postoperatively, the case recovered satisfactory by an intensive care and the recurrence of pancreatitis have not been found during 14 months after surgery. Pancreatitis is common in dogs with mitral valve insufficiency. These cases could undergo MVP with CPB safety by a higher level of monitoring (clinical symptom, serum pancreatic enzyme, WBC, plate, CRP, and coagulation system) and intensive care in perioperative period.