3-year-old spayed female Pug

Grade 4/6 left sided systolic murmur, Adequate energy and exercise tolerance, No syncope

  • Focal thickening of the left ventricular outflow tract (subaortic)
  • Mild thickening of the left ventricle and interventricular septum
  • Increased velocity across of the left ventricular outflow tract on spectral doppler
  • Mild thickening of the mitral valve
  • Subaortic stenosis graded as severe
  • Abnormal mitral valve, likely dysplasia
  • Thoracic radiographs to evaluate for pulmonary edema