SAEVA Proceedings 2018 4. Proceedings | Page 44

SAEVA Congress 2018 Proceedings | 12-15 February 2018 | ATKV Goudini Spa Chronic thrombosis left jugular vein Complete fibrous occlusion or a severe stricture of the jugular vein, while uncommon, may result in consistent performance impairment in horses, particularly those competing in maximal types of athletic work. In most horses, however, the prognosis for jugular vein thrombophlebitis is good and the vein recanalizes after thrombophlebitis. Thrombosis of other major veins may also play a role in decreased performance in horses but occur infrequently and are rarely diagnosed. Aortoiliofemoral thrombosis Aortoiliofemoral thrombosis occurs infrequently, but can be associated with exercise- associated unilateral hind limb lameness, ataxia, collapse or breeding failure in stallions. Physical examination of an affected horse at rest may reveal weak metatarsal arterial pulses or delayed saphenous refill in the affected limb. Marked hyperpnea, other signs of respiratory distress and profuse, generalized sweating are often present post exercise with trembling of the affected limb. Rectal examination may reveal fremitus, a weak or absent pulse, or aneurismal dilatation of the affected artery or arteries. Diagnosis can be confirmed by ultrasonographic evaluation of the terminal aorta and iliac arteries with a high frequency (5.0 - 7.5 MHz) rectal transducer. A hypoechoic to echogenic mass partially occluding the arterial lumen is imaged. Aortoiliac thrombosis 39