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IMAGING DIAGNOSIS—RADIOGRAPHIC,ULTRASONOGRAPHIC, COMPUTED TOMOGRAPHIC,AND FLUOROSCOPIC APPEARANCE OF A DISTAL PELVIC LIMB ARTERIOVENOUS MALFORMATION IN A YOUNG GERMAN SHEPHERD DOG
Authors:Layla S Shaikh  Shannon P Holmes  Kurt T Selberg  Carla Jarrett  Steven D Holladay  Justin Thomason  Amanda E Coleman
Institution:1. Departments of Veterinary Biosciences and Diagnostic Imaging, University of Georgia College of Veterinary Medicine, Athens, GA;2. Department of Clinical Sciences, Veterinary Health Center, Kansas State University, Manhattan, KS;3. Small Animal Medicine and Surgery, University of Georgia College of Veterinary Medicine, Athens, GA
Abstract:A German shepherd puppy presented for evaluation of a suspected arteriovenous fistula on the distal aspect of the right pelvic limb. Radiographs demonstrated expansion and resorption of the tarsal and metatarsal bones, and ultrasound detected a vascular abnormality. Using computed tomographic angiography, a complex arteriovenous malformation (AVM) involving the distal tibia, tarsus, and the metatarsus and an osteochondritis dissecans (OCD) lesion of the talus were identified. Based on these findings, therapeutic limb amputation was performed. Fluoroscopic angiography, vascular casting, and dissection were then used to further characterize features of this previously unreported AVM with concurrent bony lesions and OCD.
Keywords:arteriovenous fistula  arteriovenous malformation  dog  metatarsus
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