한국임상수의학회지 (Journal of Veterinary Clinics)

  • 제34권4호
  • /
  • Pages.283-286
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  • 2017
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  • 1598-298X(pISSN)
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  • 2384-0749(eISSN)
한국임상수의학회 (The Korean Society of Veterinary Clinics)
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Concurrent Patent Ductus Arteriosus and Congenital Extrahepatic Portosystemic Shunt with Suspected Portal Vein Aplasia in a Dog

  • Chae, Soo-young (Department of Veterinary Medical Imaging, College of Veterinary Medicine, Chungnam National University) ;
  • Cho, Yu-gyeong (Department of Veterinary Medical Imaging, College of Veterinary Medicine, Chungnam National University) ;
  • Lee, Young-won (Department of Veterinary Medical Imaging, College of Veterinary Medicine, Chungnam National University) ;
  • Choi, Ho-jung (Department of Veterinary Medical Imaging, College of Veterinary Medicine, Chungnam National University)
  • 투고 : 2017.07.27
  • 심사 : 2017.08.11
  • 발행 : 2017.08.31
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초록

A 4-month-old, female Maltese dog was referred with continuous heart murmur. Patent ductus arteriosus was diagnosed via radiography and echocardiography. The patient was untreated because of client's refusal. After 13 months, the dog was referred again with seizure and salivation. Laboratory examination revealed increased liver enzymes, hyperammonemia and decreased total cholesterol and total protein. Microhepatica was identified on abdominal radiography. CT angiography showed a shunt vessel that originated from the portal trunk to the prehepatic caudal vena cava and patent ductus arteriosus connecting proximal descending aorta with the main pulmonary artery. No portal vasculature toward liver is observed after shunt vessel. The patient was diagnosed as concurrent patent ductus arteriosus and congenital extrahepatic portosystemic shunt with suspected portal vein aplasia. In human, cardiac malformations are frequently observed in patients with congenital extrahepatic portosystemic shunt with portal vein aplasia. This report described concurrent patent ductus arteriosus and congenital extrahepatic portosystemic shunt with suspected portal vein aplasia in a dog.

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참고문헌

  1. Alonso-Gamarra E, Parron M, Perez A, Prieto C, Hierro L, Lopez-Santamaria M. Clinical and radiologic manifestations of congenital extrahepatic portosystemic shunts: a comprehensive review. Radiographics 2011; 31: 707-722. https://doi.org/10.1148/rg.313105070
  2. Fossum, TW. Small animal surgery textbook, 4th ed. St. Louis: Elsevier Health Sciences. 2013: 595-610.
  3. Hao Y, Hong X, Zhao X. Congenital absence of the portal vein associated with focal nodular hyperplasia of the liver and congenital heart disease (Abernethy malformation): A case report and literature review. Oncol Lett 2015; 9: 695-700. https://doi.org/10.3892/ol.2014.2767
  4. Hu GH, Shen LG, Yang J, Mei JH, Zhu YF. Insight into congenital absence of the portal vein: is it rare. World J Gastroenterol 2008; 14: 5969-5979. https://doi.org/10.3748/wjg.14.5969
  5. Hunt GB, Bellenger CR, Borg R, Youmans K, Tisdall PL, Malik R. Congenital interruption of the portal vein and caudal vena cava in dogs: six case reports and a review of the literature. Vet Surg 1998; 27: 203-215. https://doi.org/10.1111/j.1532-950X.1998.tb00119.x
  6. Hunt GB. Effect of breed on anatomy of portosystemic shunts resulting from congenital diseases in dogs and cats: a review of 242 cases. Aust Vet J 2004; 82: 746-749. https://doi.org/10.1111/j.1751-0813.2004.tb13233.x
  7. Kanamori Y, Hashizume K, Kitano Y, Sugiyama M, Motoi T, Tange T. Congenital extrahepatic portocaval shunt (Abernethy type 2), huge liver mass, and patent ductus arteriosus-a case report of its rare clinical presentation in a young girl. J Pediatr Surg 2003; 38: 15-20. https://doi.org/10.1053/jpsu.2003.50153
  8. Kasahara M, Nakagawa A, Sakamoto S, Tanaka H, Shigeta T, Fukuda A, Nosaka S, Matsui A. Living donor liver transplantation for congenital absence of the portal vein with situs inversus. Liver Transpl 2009; 15: 1641-1643. https://doi.org/10.1002/lt.21839
  9. Le Borgne J, Paineau J, Hamy A. Interruption of the inferior vena cava with azygous continuation associated with congenital absence of portal vein. Surg Radiol Anat 2000; 22: 197-202. https://doi.org/10.1007/s00276-000-0197-x
  10. Lohse CL, Selcer RR, Suter PF. Hepatoencephalopathy associated with situs inversus of abdominal organs and vascular anomalies in a dog. J Am Vet Med Assoc 1976; 168: 681-688.
  11. Massin M, Verloes A, Jamblin P. Cardiac anomalies associated with congenital absence of the portal vein. Cardiol Young 1999; 9: 522-525.
  12. Murray CP, Yoo SJ, Babyn PS. Congenital extrahepatic portosystemic shunts. Pediatr Radiol 2003; 33: 614-620. https://doi.org/10.1007/s00247-003-1002-x
  13. Nelson NC, Nelson LL. Anatomy of extrahepatic portosystemic shunts in dogs as determined by computed tomography angiography. Vet Radiol Ultrasound 2011; 52: 498-506. https://doi.org/10.1111/j.1740-8261.2011.01827.x
  14. Schwarz T, Rossi F, Wray JD, ABlad B, Beal MW, Kinns J, Costello M. Computed tomographic and magnetic resonance imaging features of canine segmental caudal vena cava aplasia. J Small Anim Pract 2009; 50, 341-349. https://doi.org/10.1111/j.1748-5827.2009.00748.x
  15. Zwingenberger AL, Schwarz T, Souners HM. Hellical computed tomographic angiography of canine portosystemic shunts. Vet Radiol Ultrasound 2005; 46: 27-32. https://doi.org/10.1111/j.1740-8261.2005.00005.x
  16. Zwingenberger AL, Spriet M, Hunt GB. Imaging diagnosisportal vein aplasia and interruption of the caudal vena cava in three dogs. Vet Radiol Ultrasound 2011; 52: 444-447. https://doi.org/10.1111/j.1740-8261.2011.01817.x