Korean J Vet Res.  2015 Sep;55(3):209-211. 10.14405/kjvr.2015.55.3.209.

Hypertrophic cardiomyopathy secondary to severe right and left ventricular outflow tract obstruction in a Maltese dog

Affiliations
  • 1Guardian Angel Animal Hospital, Anyang 431-081, Korea.
  • 2Section of Small Animal Internal Medicine, College of Veterinary Medicine, Kangwon National University, Chuncheon 201-100, Korea. hyun5188@kangwon.ac.kr
  • 3Department of Veterinary Pathology, College of Veterinary Medicine, Kangwon National University, Chuncheon 201-100, Korea.

Abstract

An 8-year-old spayed female Maltese (2.5 kg of body weight) presented with the primary complaint of loud heart murmur and exercise intolerance. Diagnostic imaging revealed severe pulmonic stenosis (peak velocity 5.2 m/s) with right ventricular hypertrophy. The dog revisited after 2 years, at which time, diagnostic imaging revealed severe biventricular hypertrophy, dynamic left ventricular outflow tract obstruction, left atrial dilation and pulmonary hypertension with worsened pre-existing pulmonic stenosis. Postmortem investigation revealed hypertrophic cardiomyopathy and regional myocardial infarction. The case was diagnosed as hypertrophic cardiomyopathy secondary to severe right and left ventricular outflow tract obstruction.

Keyword

dog; dynamic obstruction; hypertrophic cardiomyopathy; pulmonic stenosis; ventricular outflow tract obstruction

MeSH Terms

Animals
Cardiomyopathy, Hypertrophic*
Child
Diagnostic Imaging
Dogs*
Female
Heart Murmurs
Humans
Hypertension, Pulmonary
Hypertrophy
Hypertrophy, Right Ventricular
Myocardial Infarction
Pulmonary Valve Stenosis
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