Factors affecting heart position

Factors affecting heart position

Hi! I’m scheduled to echo on an obese (40lb) King Charles Spaniel next week… new heart murmur, looking for MVD. Just curious… if L sided heart enlargement rotates the heart in a certain direction, how does being extremely overweight change the heart position?  Dorsally perhaps? And do CKCS do LA enlargement differently?  I vaguely recall…

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