Aortic stenosis in a 22 yo cat + restrictive CM?!

Aortic stenosis in a 22 yo cat + restrictive CM?!

22yo MI cat with peripheral edema (four leg swelling)   What do you think of this heart? Has mild mitral regurgitation, severe aortic regurgitation (7m/s) and mild to moderate stenosis (3,6m/s), no LV hypertrophy, huge LA, restrictive LV filling pattern, and mild decreased systolic function. Also mild to moderate azotemia (creatinine 2,4) – mild dehydration…

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