Computed Tomography Angiography of Situs Inversus, Portosystemic Shunt and Multiple Vena Cava Anomalies in a Dog

• Published in: Journal of Veterinary Medical Science Vol. 75; no. 11; pp. 1525 - 1528
• Main Authors: OUI, Heejin, KIM, Jisun, BAE, Yeonho, OH, Juyeon, PARK, Seungjo, LEE, Gahyun, JEON, Sunghoon, CHOI, Jihye
• Format: Journal Article
• Language: English
• Published: Japan JAPANESE SOCIETY OF VETERINARY SCIENCE 01.11.2013; Japan Science and Technology Agency; The Japanese Society of Veterinary Science
• Subjects: Abnormalities, Multiple - diagnostic imaging; Abnormalities, Multiple - veterinary; Angiography - methods; Angiography - veterinary; Animals; azygos continuation of the caudal vena cava; Dog Diseases - diagnostic imaging; Dog Diseases - surgery; Dogs; Male; persistent left cranial vena cava; Portal Vein - abnormalities; Portal Vein - diagnostic imaging; Portal Vein - surgery; portosystemic shunt; situs inversus; Situs Inversus - diagnostic imaging; Situs Inversus - veterinary; Surgery; Vena Cava, Inferior - abnormalities; Vena Cava, Inferior - diagnostic imaging
• ISSN: 0916-7250; 1347-7439
• DOI: 10.1292/jvms.13-0212

A 5-year-old Shih Tzu was presented with intermittent vomiting and anorexia. Microhepatica and reversed position of the abdominal organs were observed on radiography. Ultrasonographically, portosystemic shunt (PSS) was tentatively diagnosed. Computed tomography (CT) revealed that the distended portal vein drained into the left hepatic vein. The caudal vena cava (CdVC) split postrenally and converged at the renal level. Cranial to this, the azygos continuation of the CdVC was confirmed. In the thorax, a persistent left cranial vena cava (CrVC) was found along with right CrVC. This is the first report of a dog with persistent left CrVC and multiple abdominal malformations. CT angiography was useful in evaluating the characteristics of each vascular anomaly and determining the required surgical correction in this complex case.