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Peer-reviewed veterinary case report

Dog with congenital portosystemic shunts treated by gastric vein

By Ozai, Yusuke et al.·Published in The Canadian veterinary journal = La revue veterinaire canadienne·2022·Department of Veterinary Surgery, Japan·View original on PubMed

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Original publication title: Successful ligation of the left and right gastric vein in a dog with congenital portosystemic shunts type Aii.

Species:
dog

Plain-English summary

A 6-month-old Italian greyhound was diagnosed with a congenital liver condition called a portosystemic shunt, which was affecting his blood flow. He underwent staged surgeries to tie off the left and right gastric veins, which helped redirect blood flow properly without damaging other important vessels. After the surgeries, his symptoms improved significantly, and follow-up ultrasounds three years later showed no signs of the problem returning. This surgical approach offers a safe option for treating this type of shunt in dogs.

People also search for: dog portosystemic shunt surgery · Italian greyhound liver condition · congenital liver shunt treatment

Abstract

The type Aii shunt is a congenital extrahepatic portosystemic shunt (ePSS) involving the left and right gastric vein and the caudal vena cava (CVC). This report describes the case of a 6-month-old Italian greyhound diagnosed with a type Aii large-diameter ePSS. Staged surgeries were employed to completely ligate the 2 gastric veins and to avoid the risk of traumatizing the shunt vessel, CVC, and celiac artery. Clinical signs improved postoperatively, and after 3 years, ultrasonography demonstrated no evidence of reoccurrence. This procedure provides an alternative surgical option for correction of ePSS type Aii. Key clinical message: This case report demonstrates congenital PSS involving the left and right gastric vein and the caudal vena could be treated with both ligation of left and right gastric vein. This technique could decrease the risk of traumatizing the shunt vessel, CVC, and celiac artery.

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Original publication on PubMed: https://pubmed.ncbi.nlm.nih.gov/35110770/