Presentation An 11 year old male neutered Yorkshire terrier presented for evaluation of coughing. The patient had a history of seizures that were controlled with Phenobarbital. He also had a several year history of a murmur. The coughing had been intermittent for several years as well but had progressively worsened in the 2-3 months prior to presentation. The coughing was described by the owners as hacking to honking with a terminal retch and did not appear to be associated with exercise or excitement. Echocardiogram Severe thickening of the mitral valve leaflets leading to severe regurgitation and moderate to severe left …Read More
Presentation A 3 year old male neutered Shih Tzu presented for evaluation of lethargy, increased respiratory rate and effort, coughing as well as increasing murmur intensity. Patient was previously diagnosed with pulmonary hypertension secondary to acute pulmonary disease 6 months prior based on echocardiography and thoracic radiographs. Acute therapy with antibiotics and bronchodilators was initiated at that time with minimal response. Enalapril was also initiated and continued. Echocardiogram Severe enlargement of the right atrium and right ventricle as well as severe thickening of the RVFW and IVS. Marked systolic flattening of the IVS. Severe leakages of the pulmonic and tricuspid …Read More
