Abstract: | Dynamic left ventricular outflow tract obstruction (DLVOTO) is a common condition in cats
and humans. In this case report, a dog is described with DLVOTO secondary to severe
intra-abdominal hemorrhage caused by a hemangiosarcoma. The dog was a 9-year-old, 35.7-kg,
spayed female German Shepard dog that presented with a history of tachypnea and collapse.
A Levine II/VI systolic murmur was present at the heart base. Abdominal ultrasonography
revealed a splenic mass and a large amount of ascites. Echocardiography showed a reduced
left ventricular diameter and an increased aortic velocity caused by systolic anterior
motion (SAM) of the mitral valve apparatus. The heart murmur and the SAM were resolved
after treatment including a splenectomy and a blood transfusion. |