Case Study

15_00059 Anakin M MV prolapse, LAE, MI

A 11-year-old MN Jack Russell terrier was presented for evaluation of a grade IV/VI systolic heart murmur.

A 11-year-old MN Jack Russell terrier was presented for evaluation of a grade IV/VI systolic heart murmur.

Sonographic Differential Diagnosis

Mitral valve prolapse. Mild left atrial enlargement. Severe mitral insufficiency.

Image Interpretation

The echocardiogram for this patient presented left atrial enlargement. No evidence of stroke or thrombotic activity was noted. The atrial septum was deviated toward the right atrium without evidence of dilation or contraction. The cranial and caudal mitral valve leaflets demonstrated mildly vegetative contour. Prolapse of the anterior leaflet was noted. Mitral insufficiency velocity was 6.7 m/sec. Mitral insufficiency velocity 6.7 m/sec. Blood pressure 214/178.

DX

Mitral valve prolapse. Mild left atrial enlargement. Severe mitral insufficiency.

Outcome

Recommend primary treatment for hypertension in this patient in addition to ace inhibitor therapy. Target systolic blood pressure is less than 160.

Clinical Differential Diagnosis

Valve disease: endocardiosis, vegetative endocarditis, chordae tendina rupture Heartworm disease Myocardial disease: dilated cardiomyopathy, myocarditis Pulmonary hypertension Anemia