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Intrahepatic portosystemic shunt with a second degree atrioventricular block fixed by transvenous coil embolization in a dog  

Lee, Seung-Gon (School of Veterinary Medicine, Kangwon National University)
Nam, So-Jeong (School of Veterinary Medicine, Kangwon National University)
Kim, Hyun-Wook (Haemaru Animal Medical Centre)
Hyun, Changbaig (School of Veterinary Medicine, Kangwon National University)
Publication Information
Korean Journal of Veterinary Research / v.48, no.4, 2008 , pp. 493-500 More about this Journal
Abstract
A 2-year-old female Pekingese dog was presented with primary complaints including exercise intolerance and neurological sign associated with hepatic encephalopathy. The major findings in clinical examination included an intermittent seizure, a slow heart rate with pulse deficit, leukocytosis and anemia in hemogram, elevated pre- and post-prandial serum bile acid and hepatic enzymes, hypoproteinemia, coagulopathy, ammonium urate crystaluria and bilirubinuria. Diagnostic tests revealed an intrahepatic portosystemic shunt complicated with a second degree atrioventricular block and QT prolongation. The case was successfully treated with a transvenous coil embolization. Clinical signs were gradually improved and cardiac bradyarrhythmia disappeared. This case is a rare case of intrahepatic portosystemic shunts complicated with a cardiac bradyarrhythmia in a small breed dog fixed by a transvenous coil embolization.
Keywords
atrioventricular block; IPSS; portosystemic shunt; transvenous coil embolization;
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