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Computed tomographic and magnetic resonance imaging features of canine segmental caudal vena cava aplasia
Authors:T. Schwarz,,F. Rossi,J. D. Wray,,B. Å  blad,,M. W. Beal,,J. Kinns,,G. S. Seiler,,R. Dennis,,J. F. McConnell,    M. Costello
Affiliation:Department of Surgical Sciences, School of Veterinary Medicine, University of Wisconsin-Madison, 2015 Linden Drive, Madison, WI 537064, USA
Clinica Veterinaria dell'Orologio, Via Gramsci 1/4, 40037 Sasso Marconi (BO), Italy;
Animal Health Trust, Lanwades Park, Newmarket, Suffolk CB8 7UU;
Blue Star Animal Hospital, Gjutjärnsgatan 4, 41707 Göteborg, Sweden;
Department of Small Animal Clinical Sciences, College of Veterinary Medicine, Michigan State University, East Lansing, MI 48824, USA;
Department of Clinical Studies, University of Pennsylvania School of Veterinary Medicine, 3900 Delancey Street, Philadelphia, PA 19104, USA;
Small Animal Teaching Hospital, University of Liverpool, Leahurst, Chester High Road, Neston, Cheshire CH64 7TE;
Diagnostic Imaging Service, Culver House High Street, Arlingham, Gloucestershire GL2 7JN
Abstract:O bjective : To describe the computed tomographic and magnetic resonance imaging features of segmental caudal vena cava aplasia and associated vascular anomalies in dogs.
M ethods : A retrospective study was performed reviewing computed tomographic and magnetic resonance imaging archives of eight institutions for dogs with segmental caudal vena cava aplasia. Inclusion criteria included a computed tomographic or magnetic resonance imaging study and supportive diagnostic and follow-up information. Abdominal vessels were reviewed for size, shape, location and course (including tributaries and branches) and classified as normal, abnormal or shunt vessels.
R esults : Ten dogs with segmental caudal vena cava aplasia were identified. In all dogs, postrenal caval blood was shunted to either a right or a left azygos vein, with seven different angiographic patterns. Affected dogs were predominantly female (70 per cent) and young (mean 2·6 years). Additional portocaval and porto-azygos shunt vessels were identified in two cases each. Computed tomographic angiography and magnetic resonance angiography depicted details of abdominal vessels including thrombus formation in one dog.
C linical S ignificance : Segmental caudal vena cava aplasia is a vascular congenital anomaly in the dog that can be associated with thrombosis and portosystemic shunts. Computed tomographic angiography and magnetic resonance angiography are excellent tools to demonstrate the complex vascular anatomy and to guide treatment planning for portosystemic shunts and thrombolytic therapy.
Keywords:
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