Document Detail

Portosystemic shunts in cats--evaluation of six cases and a review of the literature.
MedLine Citation:
PMID:  19517936     Owner:  NLM     Status:  MEDLINE    
The objective of this study was to give a recent review of the literature of portosystemic shunt (PSS) in cats and to describe a case series of 6 cats diagnosed with PSS. Cats diagnosed with a PSS between 1997 and 2006 were reviewed with a focus on history, clinical signs, laboratory findings, imaging techniques, and outcome. Among 12,438 analysed cats, six cats were found with confirmed PSS (one portocaval, two intrahepatic, and three portoazygos shunts) leading to a prevalence of PSS in cats of 4.8/10,000 (0.048%) when compared to the clinic population. Three of the cats were purebred; four were male and two female. Median age at time of diagnosis was four months. All cats showed signs of hepatoencephalopathy and elevated fasted serum bile acids. Elevated fasted ammonia levels were found in five of six cats. Abdominal ultrasonography showed the shunting vessel in four of six cats. Three of four cats in which the shunt was surgically attenuated had a good to excellent outcome (follow up of 65 months). In conclusion PSS are rare in cats. Affected cats may have an excellent long term outcome with surgery.
Kristina Ruland; Andrea Fischer; Sven Reese; Klaus Zahn; Ulrike Matis; Katrin Hartmann
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Berliner und Münchener tierärztliche Wochenschrift     Volume:  122     ISSN:  0005-9366     ISO Abbreviation:  Berl. Munch. Tierarztl. Wochenschr.     Publication Date:    2009 May-Jun
Date Detail:
Created Date:  2009-06-12     Completed Date:  2009-07-07     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0003163     Medline TA:  Berl Munch Tierarztl Wochenschr     Country:  Germany    
Other Details:
Languages:  eng     Pagination:  211-8     Citation Subset:  IM    
Medizinische Kleintierklinik, Ludwig Maximilians Universität München.
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MeSH Terms
Cat Diseases / surgery*
Portasystemic Shunt, Surgical / methods,  veterinary*
Treatment Outcome

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