Severe CHF

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