Pectus Excavatum (Deformed Sternum, Funnel Chest) in cats

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Pectus excavatum, also known as funnel chest or deformed sternum, is a congenital malformation of the chest wall in cats, in which the sternum is curved inward, causing a depression in the chest.

The most important facts at a glance

Pectus excavatum, also called funnel chest, is a deformity of the sternum in cats, the exact cause of which is not fully understood, but genetic factors appear to play a significant role. This anomaly often occurs in young cats and is caused by impaired growth of the sternum and ribs, resulting in an indentation of the chest. Uneven tension in the muscles between the ribs and sternum, as well as inadequate nutrition during pregnancy, can also contribute to the development. The most common symptoms are respiratory distress, reduced resilience and growth disorders, while rarer symptoms may include lung infections and loss of appetite.

Diagnosis is made by physical examination and imaging procedures such as X-rays to assess the degree of indentation and the effects on the lungs and heart. Treatment depends on the severity and ranges from regular monitoring to surgical correction to improve the shape of the chest. Supportive measures such as physiotherapy and a balanced diet are also important. The prognosis is usually favorable with early detection and treatment, while severe cases without treatment can lead to respiratory and heart problems. Prevention includes responsible breeding practices and a balanced diet during pregnancy.

Causes

The exact cause of Pectus excavatum is not fully understood, but genetic factors are believed to play a significant role. This deformity occurs due to impaired growth of the sternum and ribs, resulting in an unnatural curvature of the chest. In cats, especially in young animals, this anomaly can be congenital and become noticeable in the first weeks of life.

Another factor that can contribute to the development of Pectus excavatum is uneven tension in the intercostal muscles that connect the ribs to the sternum. These muscles play a crucial role in breathing, and uneven muscle development can exacerbate the deformation. There is also evidence that inadequate nutrition or a lack of certain nutrients during pregnancy can increase the risk of this malformation.

Although genetic predispositions play a role, there are no clearly identified genes that can be held responsible for Pectus excavatum. Researchers suspect that it is a polygenetic disease in which multiple genes are involved. Environmental factors could also play a role by influencing gene expression.

Symptoms

The symptoms of Pectus excavatum can vary depending on the severity of the deformation. In mild cases, the cat may not show any obvious symptoms and the condition is often discovered accidentally during a routine examination. In more severe cases, however, clear signs may occur that impair the well-being and quality of life of the affected cat.

The most common symptoms include respiratory distress, especially during physical activity. Affected cats may show shallow and rapid breathing, as the deformation of the chest hinders the normal expansion of the lungs. In some cases, heart problems can also occur, as the pressure on the chest cavity can affect the heart.

Another symptom is reduced physical activity. Cats with Pectus excavatum may show a reduced desire to play and fatigue with minor exertion. In severe cases, growth disorders can occur, as the deformation restricts the space for the internal organs, which can affect food intake and processing.

Diagnosis

The diagnosis of Pectus excavatum is usually made by a physical examination and imaging procedures. An experienced veterinarian can often determine the deformation by palpating the chest. The degree of indentation can be assessed by visual inspection and palpation. To confirm the diagnosis and assess the severity of the disease, X-rays of the chest are usually required.

X-rays clearly show the indentation of the sternum and allow an assessment of the effects on the lungs and heart. In some cases, an ultrasound examination may be necessary to check the function of the heart and to rule out possible complications, such as fluid accumulation or heart failure. Imaging also helps in planning a possible surgical correction.

Therapy

The treatment of Pectus excavatum depends on the severity of the deformation and the associated symptoms. In mild cases that do not cause clinical symptoms, regular monitoring may be sufficient to ensure that the condition does not worsen. In more severe cases, surgical correction may be necessary to improve the shape of the chest and support respiratory and heart function.

One surgical option is the so-called “sternal elevation”, in which the sternum is lifted by a surgical procedure to restore the normal shape of the chest. This procedure can be particularly effective in young cats whose bones are still growing. Another method is the use of an external compression device that is worn over a period of time to gradually correct the shape of the chest.

In addition to surgical treatment, supportive measures such as physiotherapy and special breathing exercises can help improve respiratory function. A balanced diet and avoidance of stressors are also important to support the health of the affected cat.

Prognosis and follow-up care

The prognosis for cats with Pectus excavatum depends on various factors, including the severity of the deformation and the age of the cat at diagnosis. With early detection and appropriate treatment, especially in young cats, the prognosis is usually favorable. Surgical correction can significantly improve the quality of life and normalize life expectancy.

Without treatment, more severe cases can lead to permanent respiratory and heart problems that can significantly impair the quality of life and shorten life expectancy. Regular follow-up examinations with the veterinarian are important to monitor the progress of the disease and to detect complications early.

Prevention

The prevention of Pectus excavatum in cats is challenging because the exact cause of this deformation is not fully understood and is often genetic. An important step in preventing this disease is responsible breeding practice. Breeders should make sure not to use cats with a known genetic predisposition for Pectus excavatum for breeding in order to minimize the risk of passing on this deformation.

A balanced diet during pregnancy can also play a role in prevention. Pregnant cats should receive food that contains all the important nutrients in sufficient quantities to support the healthy development of the fetuses. This can help reduce the risk of developmental anomalies, including Pectus excavatum.

Early veterinary examinations of newborn kittens are crucial. Early detection makes it possible to take quick action to minimize the effects of the disease. Regular check-ups for young kittens can help identify deformations in the chest area early. Sensible education of cat owners about the signs of this disease can also help ensure that affected kittens receive veterinary help in good time.

Outlook on current research

In current research on Pectus excavatum in cats, the focus is on the genetic factors that lead to the development of this chest deformity. Scientists are investigating whether there are specific genetic markers that are more common in cats with this disease. Initial studies suggest that there may be a hereditary component, but this has not yet been fully understood. The collection of genetic data from affected and unaffected cats could help to draw a clearer picture and develop targeted breeding programs to reduce the risk of this deformity.

Another area of research is the investigation of environmental factors that could contribute to the development of Pectus excavatum. These include, for example, conditions during pregnancy, the nutrition of the mother cat or possible trauma in the early stages of development of the kittens. Identifying such factors could lead to better prevention strategies.

With regard to treatment options, intensive work is being carried out on the further development of surgical techniques. Currently, one of the most common treatment approaches is surgical correction by placing an orthopedic device that presses the sternum into a normal position. New minimally invasive techniques are being tested to make the procedure less stressful for the animals and to shorten recovery times. The use of 3D printing technologies for the production of individual correction devices is also being researched.

In addition, the role of physiotherapy as a supportive form of treatment is being investigated. Initial results show that targeted breathing exercises and muscle strengthening programs can improve the quality of life of the affected cats. The combination of surgical and non-surgical measures could lead to better long-term treatment results.

Long-term studies are underway to better understand the effects of Pectus excavatum on the lifespan and quality of life of cats. The data collected should help to improve the prognosis for affected cats and to support veterinarians in advising cat owners. These comprehensive investigations contribute to deepening the understanding of the disease and developing the best possible treatment approaches.

Frequently asked questions (FAQs)

  1. What is Pectus excavatum in cats? Pectus excavatum, also known as funnel chest, is a congenital deformity of the chest in which the sternum is curved inward. This deformity can affect the heart and lungs and lead to respiratory distress.

  2. How can you recognize Pectus excavatum in cats? The diagnosis is usually made by a physical examination and imaging procedures such as X-rays. Symptoms can include shortness of breath, decreased activity, and growth disorders.

  3. Is Pectus excavatum treatable in cats? Yes, there are various treatment options, including surgical procedures to correct the deformity. In mild cases, conservative treatment with physiotherapy can also be considered.

  4. Which cat breeds are most commonly affected? Pectus excavatum can occur in any cat breed, but some studies suggest that it is more common in breeds such as the Siamese and Burmese.

  5. Can Pectus excavatum be inherited? There is evidence that genetic factors may play a role, but the exact mechanisms are not yet fully understood. Further research is needed to clarify the heritability.

  6. What risks are associated with surgical treatment? As with any surgical procedure, there are risks such as infections, bleeding, and reactions to anesthesia. Nevertheless, in many cases the potential benefits of a correction outweigh the risks.

  7. Can cats with Pectus excavatum lead a normal life? With the right treatment and care, many cats with Pectus excavatum can lead a relatively normal life, especially if the disease is detected and treated early.

  8. What role does nutrition play in the treatment? A balanced diet is important for the general well-being of the cat, but cannot directly influence Pectus excavatum. In some cases, a special diet may be recommended to support recovery after surgery.

  9. Are there alternative treatment methods? In addition to surgical correction, breathing exercises, physical therapy and, in some cases, the use of special corsets can be used as supportive measures.

  10. How can Pectus excavatum be prevented? Targeted breeding practices that take genetic predispositions into account could help to reduce the risk. In addition, pregnant cats should be optimally cared for in order to ensure the best possible conditions for the development of the kittens.

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