Use of portocaval venografts with ameroid constrictor placement and hepatic lobectomy for treatment of intralobular intrahepatic portocaval shunts in four dogs.
Liver lobectomy for complete attenuation of intrahepatic portosystemic shunts appears to be a safe and effective surgical treatment. When the intrahepatic shunt vessel can be definitively palpated within a liver lobe or its presence confirmed portographically, liver lobectomy represents a technically simple and effective method of complete shunt attenuation. To maintain portal pressure at an acceptable value after lobectomy, an extrahepatic portocaval shunt vessel can be created by use of an external jugular vein graft. A second shunt vessel can be created if portal pressure remains increased after placement of 1 shunt. Gradual and safe attenuation of the shunt vessel is achieved by placement of an ameroid constrictor on the extrahepatic graft at the time of the initial surgery.
Gellasch
Kelly L
KL
Department of Surgical Sciences, School of Veterinary Medicine, University of Wisconsin, Madison, WI 53706, USA.
Patricelli
Alison J
AJ
Sicard
Gretchen K
GK
McAnulty
Jonathan E
JE
D000714:Anastomosis, Surgical / Q000662:veterinary; D000818:Animals; D001672:Biocompatible Materials; D002364:Caseins; D003250:Constriction; D004285:Dogs / Q000601:surgery*; D005260:Female; D006498:Hepatectomy / Q000662:veterinary; D020100:Hydrogels; D006975:Hypertension, Portal / Q000517:prevention & control / Q000662:veterinary; D007601:Jugular Veins / Q000637:transplantation*; D008099:Liver / Q000601:surgery*; D008297:Male; D017082:Portal Pressure / Q000502:physiology; D011168:Portal System / Q000002:abnormalities* / Q000601:surgery*; D011169:Portal Vein / Q000002:abnormalities / Q000601:surgery; D011172:Portography / Q000662:veterinary; D013522:Surgery, Veterinary / Q000379:methods; D016896:Treatment Outcome; D014684:Venae Cavae / Q000601:surgery*
D001672:Biocompatible Materials; D002364:Caseins; D020100:Hydrogels; C009719:ameroid