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Unilateral shunt formation with thoracic aortic dissection in a dog
A three-year-old neutered male whippet was presented with intermittent, exercise-induced paraparesis. Femoral pulses were bilaterally absent. Neurologic examination was suggestive of a thoracolumbar myelopathy. Blood pressure measurements revealed hypotension in both pelvic limbs, hypertension in the right thoracic limb and it was immeasurable in the left thoracic limb. A fascinating case report!















Echocardiography was within reference limits.

A clear vascular pulsation was palpable on the right ventral abdominal wall.

Computed tomographic angiography revealed a dissection of the aortic wall between the left subclavian artery and the brachiocephalic trunk with subsequent thrombus formation.

A shunt between the right internal thoracic, cranial and caudal epigastric arteries to preserve blood flow to the pelvic limbs was visualized.

Necropsy was declined by the owner.

This is the first case report describing the formation of a unilateral vascular shunt following a thoracic aortic occlusion, which presented as exercise-induced paraparesis.


Source: Cornelis, I., Bosmans, T., Doom, M., Binst, D., Van der Vekens, E., Kromhout, K., Cornillie, P. and Van Ham, L. (2014), Unilateral shunt formation with thoracic aortic dissection in a whippet. Journal of Small Animal Practice, 55: 337–339. doi: 10.1111/jsap.12205


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SMALL ANIMAL PRACTICE

Patient-specific facemask to facilitate brain biopsymembers
The objective of this pilot study was to describe the application and first preliminary data of a novel MRI and CT compatible patient-specific facemask for stereotactic brain biopsy of intracranial lesions in dogs. Five client-owned dogs presenting for neurological deficits consistent with forebrain disease were included in the study. All dogs had MRI findings consistent with an intracranial lesion. But biopsies in this region are not easy to obtain. Does an individual face mask help?

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