NOTE Surgery Computed Tomography Angiography of Situs Inversus, Portosystemic Shunt and Multiple Vena Cava Anomalies in a Dog

ABSTRACT. A 5-year-old Shih Tzu was presented with intermittent vomiting and anorexia. Microhepatica and reversed position of the ab-dominal organs were observed on radiography. Ultrasonographically, portosystemic shunt (PSS) was tentatively diagnosed. Computed tomography (CT) revealed that the distended portal vein drained into the left hepatic vein. The caudal vena cava (CdVC) split postrenally and converged at the renal level. Cranial to this, the azygos continuation of the CdVC was confirmed. In the thorax, a persistent left cranial vena cava (CrVC) was found along with right CrVC. This is the first report of a dog with persistent left CrVC and multiple abdominal malformations. CT angiography was useful in evaluating the characteristics of each vascular anomaly and determining the required surgical correction in this complex case. KEY WORDS: azygos continuation of the caudal vena cava, CT, persistent left cranial vena cava, portosystemic shunt, situs inversus. doi: 10.1292/jvms.13-0212; J. Vet. Med. Sci. 75(11): 1525–1528, 2013 Situs inversus is a congenital condition in which the vis-ceral position is reversed as a mirror image. This condition is the main characteristic of Kartagener’s syndrome with rhinosinusitis and bronchiectasis [7]. Situs inversus without dextrocardia has been reported with congenital vascular anomalies including portosystemic shunts (PSS) and azygo