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Titolo:
TRANSPORTAL APPROACH FOR ATTENUATING INTRAHEPATIC PORTOSYSTEMIC SHUNTS IN DOGS
Autore:
HUNT GB; BELLENGER CR; PEARSON MRB;
Indirizzi:
UNIV SYDNEY,DEPT VET ANAT SYDNEY NSW 2006 AUSTRALIA UNIV SYDNEY,VET TEACHING HOSP,VET CARDIOVASC UNIT,DEPT VET ANAT SYDNEY NSW 2006 AUSTRALIA UNIV SYDNEY,VET TEACHING HOSP,VET CARDIOVASC UNIT,DEPT VET CLIN SCI SYDNEY NSW 2006 AUSTRALIA
Titolo Testata:
Veterinary surgery
fascicolo: 4, volume: 25, anno: 1996,
pagine: 300 - 308
SICI:
0161-3499(1996)25:4<300:TAFAIP>2.0.ZU;2-U
Fonte:
ISI
Lingua:
ENG
Soggetto:
INFLOW OCCLUSION; MANAGEMENT;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Science Citation Index Expanded
Citazioni:
18
Recensione:
Indirizzi per estratti:
Citazione:
G.B. Hunt et al., "TRANSPORTAL APPROACH FOR ATTENUATING INTRAHEPATIC PORTOSYSTEMIC SHUNTS IN DOGS", Veterinary surgery, 25(4), 1996, pp. 300-308

Abstract

A novel surgical approach, using portal venotomy during total hepaticvascular occlusion, was used to locate and attenuate congenital intrahepatic portosystemic shunts in nine dogs, Shunt location was consistent with a persistent ductus venosus in only two dogs. In the remainingseven dogs the shunts were window-like orifices arising from either the left (two dogs) or right portal vein branch (five dogs) and communicating with the ipsilateral hepatic vein or caudal vena cava. The transportal approach using total hepatic vascular occlusion consistently provided good access to the portosystemic shunts, including those with window-like communications. A 7 to 16 minute period of total vascular occlusion was well-tolerated hemodynamically, with few intraoperative complications. Intrahepatic shunts were successfully attenuated in eight dogs, while one dog with portal atresia was euthanatized. The postoperative course was complicated by high protein pulmonary edema (one dog), an encapsulated biliary pseudocyst (one dog) and uncontrollable hemorrhage caused by an uncharacterized coagulopathy (one dog). Three dogs required a second operation to further attenuate their shunts. Theclinical condition of all seven surviving dogs was improved after surgery. (C) Copyright 1996 by The American College of Veterinary Surgeons.

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Documento generato il 26/09/20 alle ore 11:22:17