Cooper with his surgical team at Bridge Referrals Cooper, a five-month-old Shih Tzu puppy, was referred to the soft tissue team at Bridge Referrals after being diagnosed with an extrahepatic portosystemic shunt (EHPSS) by his primary care vet. Cooper had suffered from lower urinary tract signs as well as early changes in mentation. Following a period of medical stabilisation, CT angiography was performed and this confirmed a right gastro-caval shunt entering the caudal vena cava in the region of the epipolic foramen. Pre-operative CT 3D render showing the shunting vessel (red) arising from the right gastric branch of the portal…
Kaitlin HattleNovember 25, 2025


