6 month old Doli Apso dog.
High intensity heart murmur was heard by the referring Vet during routine examination. The owners had not noticed any symptoms.
Grade 6/6 heart murmur with a maximum over the left heart base, radiating to the right thoracic wall.
Clinical Differential Diagnosis
Severe pulmonic stenosis (Pressure gradient 213,7 mm Hg) with some dynamic component.
Therapy: There was no atrial septal defect detectable, so we recommended balloon valvuloplasty even though the right atrium was already moderately enlarged