Peer-reviewed veterinary case report
Using contrast ultrasound during surgery to close a liver blood
By Saponaro, V et al.·Published in Research in veterinary science·2012·Department of Emergency and Organs Transplantations, Italy·View original on PubMed →
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Original publication title: Intraoperative contrast echocardiography to verify the surgical occlusion of a single extrahepatic portosystemic shunt in a dog.
- Species:
- dog
Plain-English summary
A 5-year-old male Labrador Retriever was diagnosed with a congenital condition called a portosystemic shunt (PSS), which can cause serious health issues by allowing blood to bypass the liver. During surgery, a special test using bubbles confirmed the presence of the shunt and helped the surgeon locate it. After successfully closing the shunt, the dog was monitored and showed positive signs of recovery. This method of using bubble echocardiography during surgery proved to be effective and easy for confirming the treatment's success.
People also search for: dog portosystemic shunt surgery · Labrador Retriever liver problems · bubble echocardiography for dogs
Abstract
This report details a bubble echocardiographic study carried out during the surgical treatment of a congenital single extrahepatic portosystemic shunt (PSS) in a Labrador Retriever. After celiotomy, agitated saline was injected through a jejunal vein and microbubbles appeared rapidly in the right cardiac chambers. The test confirmed the presence of a PSS, helping the surgeon to identify the vessel concerned and to rule out a second shunt. Successively, portography confirmed what the exploratory celiotomy had revealed before with the aid of the bubble study: a single shunt was located between the portal vein and the right renal vein. It was completely ligated, as all the criteria for this solution were met. Intraoperative contrast echocardiography (ICE) was easy to perform, helpful and undemanding. It is proposed here as an intraoperative ancillary test to diagnose all PSS and to confirm successful treatment when complete shunt closure is possible.
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Search related cases →Original publication on PubMed: https://pubmed.ncbi.nlm.nih.gov/21821269/