Hepatic microvascular dysplasia (HMD) is a disease involving a microscopic
shunting of blood through the liver without the presence of a macroscopic p
ortosystemic shunt (PSS), Data was collected from medical records and telep
hone conversations with referring veterinarians and owners of 24 dogs diagn
osed with HMD, Criteria for diagnosis included histopathological evidence o
f microvascular dysplasia on hepatic biopsy as well as surgical exploration
and a normal mesenteric portogram to rule out a macroscopic PSS, Dogs with
HMD frequently have less severe clinical signs and a better long-term prog
nosis than do those with a PSS that are managed medically.