Single Posthepatic Portosystemic Shunt Communicated With Internal Thoracic Vein and Azygos Continuation of the Caudal Vena Cava in a Dog

ABSTRACT Computed tomography angiography (CTA) was performed under general anaesthesia on a 7‐month‐old toy poodle that was referred with the chief complaints of salivation and neurological symptoms. The CTA revealed a rare form of posthepatic portosystemic shunt (PSS) via the suspected persistent l...

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Main Authors: Ryo Takeuchi, Kumiko Ishigaki, Orie Yoshida, Tatsuya Heishima, Kaito Iida, Kazushi Asano
Format: Article
Language:English
Published: Wiley 2024-11-01
Series:Veterinary Medicine and Science
Subjects:
Online Access:https://doi.org/10.1002/vms3.70057
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author Ryo Takeuchi
Kumiko Ishigaki
Orie Yoshida
Tatsuya Heishima
Kaito Iida
Kazushi Asano
author_facet Ryo Takeuchi
Kumiko Ishigaki
Orie Yoshida
Tatsuya Heishima
Kaito Iida
Kazushi Asano
author_sort Ryo Takeuchi
collection DOAJ
description ABSTRACT Computed tomography angiography (CTA) was performed under general anaesthesia on a 7‐month‐old toy poodle that was referred with the chief complaints of salivation and neurological symptoms. The CTA revealed a rare form of posthepatic portosystemic shunt (PSS) via the suspected persistent left umbilical vein communicating with the internal thoracic vein in addition to an azygos continuation of the caudal vena cava (CVC). The patient underwent surgery for partial ligation of PSS on Day 4 after the initial examination. On Day 71, after the initial examination, a second surgery was performed for complete ligation. Approximately 10 years have passed since the patient's second surgery, and he is still healthy, and generally in good condition. Although the morphology of the shunt in this case was unusual and was accompanied by an azygos continuation of the CVC, a favourable course of treatment was obtained by ligating the shunt vessel. This case report suggests that CTA can reveal the complex morphological characteristics like our case. Surgical treatment in this case resulted in favourable progress, similar to that in dogs with commonly observed extrahepatic PSS.
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institution Kabale University
issn 2053-1095
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publishDate 2024-11-01
publisher Wiley
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series Veterinary Medicine and Science
spelling doaj-art-4ee511b81b73441cb435879a148b2d362025-01-20T17:16:44ZengWileyVeterinary Medicine and Science2053-10952024-11-01106n/an/a10.1002/vms3.70057Single Posthepatic Portosystemic Shunt Communicated With Internal Thoracic Vein and Azygos Continuation of the Caudal Vena Cava in a DogRyo Takeuchi0Kumiko Ishigaki1Orie Yoshida2Tatsuya Heishima3Kaito Iida4Kazushi Asano5Laboratory of Veterinary Surgery, Department of Veterinary Medicine, College of Bioresource Sciences Nihon University Fujisawa Kanagawa JapanLaboratory of Veterinary Surgery, Department of Veterinary Medicine, College of Bioresource Sciences Nihon University Fujisawa Kanagawa JapanLaboratory of Veterinary Surgery, Department of Veterinary Medicine, College of Bioresource Sciences Nihon University Fujisawa Kanagawa JapanLaboratory of Veterinary Surgery, Department of Veterinary Medicine, College of Bioresource Sciences Nihon University Fujisawa Kanagawa JapanLaboratory of Veterinary Surgery, Department of Veterinary Medicine, College of Bioresource Sciences Nihon University Fujisawa Kanagawa JapanLaboratory of Veterinary Surgery, Department of Veterinary Medicine, College of Bioresource Sciences Nihon University Fujisawa Kanagawa JapanABSTRACT Computed tomography angiography (CTA) was performed under general anaesthesia on a 7‐month‐old toy poodle that was referred with the chief complaints of salivation and neurological symptoms. The CTA revealed a rare form of posthepatic portosystemic shunt (PSS) via the suspected persistent left umbilical vein communicating with the internal thoracic vein in addition to an azygos continuation of the caudal vena cava (CVC). The patient underwent surgery for partial ligation of PSS on Day 4 after the initial examination. On Day 71, after the initial examination, a second surgery was performed for complete ligation. Approximately 10 years have passed since the patient's second surgery, and he is still healthy, and generally in good condition. Although the morphology of the shunt in this case was unusual and was accompanied by an azygos continuation of the CVC, a favourable course of treatment was obtained by ligating the shunt vessel. This case report suggests that CTA can reveal the complex morphological characteristics like our case. Surgical treatment in this case resulted in favourable progress, similar to that in dogs with commonly observed extrahepatic PSS.https://doi.org/10.1002/vms3.70057doginternal thoracic veinsportosystemic shuntposthepaticsurgeryumbilical veins
spellingShingle Ryo Takeuchi
Kumiko Ishigaki
Orie Yoshida
Tatsuya Heishima
Kaito Iida
Kazushi Asano
Single Posthepatic Portosystemic Shunt Communicated With Internal Thoracic Vein and Azygos Continuation of the Caudal Vena Cava in a Dog
Veterinary Medicine and Science
dog
internal thoracic veins
portosystemic shunt
posthepatic
surgery
umbilical veins
title Single Posthepatic Portosystemic Shunt Communicated With Internal Thoracic Vein and Azygos Continuation of the Caudal Vena Cava in a Dog
title_full Single Posthepatic Portosystemic Shunt Communicated With Internal Thoracic Vein and Azygos Continuation of the Caudal Vena Cava in a Dog
title_fullStr Single Posthepatic Portosystemic Shunt Communicated With Internal Thoracic Vein and Azygos Continuation of the Caudal Vena Cava in a Dog
title_full_unstemmed Single Posthepatic Portosystemic Shunt Communicated With Internal Thoracic Vein and Azygos Continuation of the Caudal Vena Cava in a Dog
title_short Single Posthepatic Portosystemic Shunt Communicated With Internal Thoracic Vein and Azygos Continuation of the Caudal Vena Cava in a Dog
title_sort single posthepatic portosystemic shunt communicated with internal thoracic vein and azygos continuation of the caudal vena cava in a dog
topic dog
internal thoracic veins
portosystemic shunt
posthepatic
surgery
umbilical veins
url https://doi.org/10.1002/vms3.70057
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