ABSTRACT. A 10-month-old cat was diagnosed with congenital subvalvular aortic stenosis. To resolve its hypoxia, oxygen therapy was administered a couple of times a week during two months. The oxygen partial pressure in the chamber was maintained between 30 and 35%, and the time for one procedure was 12-24 hr. The animal died due to severe respiratory failure. At necropsy, the lungs were voluminous and had a rubbery texture. Histologically, large type II pneumocytes with occasional atypia had diffusely proliferated within the lungs. Interstitial fibrosis was not observed, although some alveolar septa were thickened along with fibrinous exudates and neutrophilic infiltration. The histology of these lesions was consistent with diffuse alveolar damage (DAD), which might have been partially due to oxygen toxicity.KEY WORDS: acute respiratory distress syndrome, diffuse alveolar damage, feline, interstitial pneumonia.J. Vet. Med. Sci. 73(10): 1347-1349, 2011 Diffuse alveolar damage (DAD) reflects diffuse injury to pneumocytes and endothelial cells in alveolar septa. It is characterized by the formation of hyaline membranes (acute exudative phase), proliferation of type II pneumocytes (subacute proliferative phase), and interstitial fibrosis (chronic phase) in the lungs. For domestic animals, DAD has not been strictly defined, and this term is sometimes used as a synonym for interstitial pneumonia [1]. Experimentally induced DAD has been reported in pigs, dogs, and sheep [15] and many viruses with tropisms for pneumocytes can induce DAD [4,6,14]. In cats, DAD has been reported to arise after inhalation of nitrogen dioxide or due to infections with feline calicivirus [8], Avian H5N1 influenza virus [2,7], and severe acute respiratory syndrome-coronavirus (SARS-CoV) [13].In humans, DAD is the histological manifestation of acute lung injury and acute respiratory distress syndrome (ARDS), which are clinically characterized by sudden, fatal respiratory insufficiency in the absence of cardiac failure. It is known that DAD can arise due to a variety of causes, such as direct injury to the lung or systemic disorders like shock. In veterinary practice, ARDS has been mostly described in dogs [10,11], but not in cats.In this study, we describe DAD in a young cat that was characterized by predominant proliferation of type II pneumocytes.A 10-month-old female domestic Japanese cat was brought to a veterinary hospital for a vaccination, and was found to have a cardiac murmur upon physical examination. On an ultrasonographic examination, cardiac disease was diagnosed as a severe grade of congenital subvalvular aortic stenosis. From five months after the first visit, pulmonary edema often developed in the cat, and oxygen therapy using an Altas ICU station (TAIYO Electronics Co., Ltd., Tokyo, Japan) was administered a couple of times a week to resolve hypoxia. The oxygen partial pressure in the chamber was maintained between 30 and 35%, and the time for one procedure was 12-24 hr. Oxygen therapy had been frequently done during two month...