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Multiple acquired portosystemic shunts (MAPSS) in puppies and young dogs: a syndrome compatible with congenital ductal plate abnormalities
Recently I’ve seen two three-month-old dogs with multiple (numerous) small portosystemic shunts in the absence of inflammatory liver disease. The patient whose images are presented below was examined on account of acute encephalopathy with bile acids >130 umol/l and ALT > 600 (ref <100). The same in video: This flow courses via colic veins to enter … Continue reading
More on portosystemic shunts in cats and dogs with normal post-prandial bile acids
Just a snippet of information -but something I’ve always struggled to find published confirmation of in the past: that both cats and dogs with portosystemic shunts may have normal range pre- and post-prandial bile acids. I note that in the recent JVIM paper: J Vet Intern Med. 2019 Nov 19. doi: 10.1111/jvim.15649. [Epub ahead … Continue reading
Multiple acquired portosystemic shunts (MAPSS) in dogs due to portal hypertension are not necessarily accompanied by hepatofugal flow in the normal tributaries of the portal vein
This is an issue I used to wonder about. When you see acquired shunts running, for example, from splenic to left renal veins….should flow in the gastrosplenic vein also be hepatofugal? That is, does blood flowing down the mesenteric vein from the guts continue into the main portal vein or does it all get diverted … Continue reading

