Extra-hepatic shunt?

8 mo M/N Fox Toy Terrier W9#

Elevated ALT on preop labwork (159). Did well for neuter (inguinal cryptorchid). 

Recheck ALT 2 weeks later 304. Doing great at home. No other abnormalities on labwork. 

All ok on u/s. Normal size liver, 3.5cm kidneys, no bladder stones. The PV/AO/CVC seemed normal but…

Is that blue vessel going down from PV to CVC a spleno-caval shunt? or am I seeing things?

Thank you for your input. 

8 mo M/N Fox Toy Terrier W9#

Elevated ALT on preop labwork (159). Did well for neuter (inguinal cryptorchid). 

Recheck ALT 2 weeks later 304. Doing great at home. No other abnormalities on labwork. 

All ok on u/s. Normal size liver, 3.5cm kidneys, no bladder stones. The PV/AO/CVC seemed normal but…

Is that blue vessel going down from PV to CVC a spleno-caval shunt? or am I seeing things?

Thank you for your input. 

Julie

sonopaws

2 responses to “Extra-hepatic shunt?”

  1. No Shunt… you are getting

    No Shunt… you are getting color bleeding from the right pv branch into the cvc so if you lower your gain you will see the pv branches taper off and not bleed into the cvc. The last video shows this best. Pv cvc ratio is 1:1 so no ehpss

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