Case summaryA 2-year-old female neutered domestic shorthair cat was presented for
investigation of acute onset tachypnoea and dyspnoea. Pyothorax was
diagnosed based on thoracic radiographs and fluid analysis. Medical
treatment consisted of bilateral thoracostomy tube placement, antibiotic
therapy and thoracic lavage. After 12 days of medical management infection
was still present, warranting exploratory thoracotomy. At surgery,
encapsulated abscesses were found in the left lung, right cranial and right
middle lobes. The right caudal lobe was the only macroscopically
non-abscessated lobe, and appeared to have a parenchymal laceration 8 mm
long over the dorsolateral surface. Following partial pericardiectomy,
mediastinectomy and debridement of abscesses, a pericardial flap was
reflected caudolaterally and apposed over the laceration to seal the
affected lung lobe. This flap was sutured to a rim of fibrinous adhesion
that was partially covering this lobe. After 8 days the cat was discharged
with antibiotic therapy for 3 more weeks. Follow-up assessment at 19 and 38
weeks postoperatively confirmed the cat to have good exercise tolerance.
Thoracic radiographs at 19 weeks revealed good bilateral aeration of the
pulmonary parenchyma without pleural effusion.Relevance and novel informationLung lobe laceration can be treated by lung lobectomy or direct suturing of
the lung parenchyma. This is the first report using a pericardial flap to
repair a lung laceration. Pericardial flap was successfully used to treat
this lung laceration where lobectomy was contraindicated. Encouraging
results were present at 8 months postoperatively.