Spies et al: Clinical presentation and short‐term outcomes of dogs ≥15 kg with extrahepatic portosystemic shunts
Veterinary Surgery 2, 2024

🔍 Key Findings

• 63 dogs ≥15 kg with single EHPSS were reviewed.
• Most common breeds: Golden Retriever (28.6%), mixed breed (20.6%).
• Most common shunt types: splenocaval (25.4%) and portocaval (25.4%).
• 45 dogs received surgical attenuation; 18 were medically managed.
• 6.7% (3/45) of surgically treated dogs died due to shunt-related complications; 22.2% (4/18) of medically managed dogs died.
• Hypoplastic portal vein was noted in 52.9% of dogs where portal anatomy was described.
• 37.5% of surviving attenuated dogs were weaned off all medical management.
• Attenuated dogs had higher 1-, 2-, and 5-year survival rates (89%, 77%, 77%) than nonattenuated dogs (82%, 49%, 24%).