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Journal of the American Animal Hospital Association 38:403-406 (2002)
© 2002 American Animal Hospital Association


Case Report

Supravalvular Mitral Stenosis in a Cat

Deborah M. Fine, DVM, Anthony H. Tobias, BVSc, PhD, Diplomate ACVIM (Cardiology) and Kristin A. Jacob, DVM, Diplomate ACVIM (Cardiology)

From the Department of Small Animal Clinical Sciences, College of Veterinary Medicine, University of Minnesota, 1365 Gortner Avenue, St. Paul, Minnesota 55108.

A 3-year-old, 4-kg, castrated male domestic shorthair cat presented with signs of progressive respiratory distress. Thoracic radiographs showed pulmonary edema and pleural effusion. Echocardiography revealed a perforate membrane immediately above the mitral valve that divided the left atrium into proximal and distal chambers. The left auricle was proximal to the dividing membrane and connected to the markedly enlarged proximal left atrial chamber, consistent with the diagnosis of supravalvular mitral stenosis (SMS). Position of the obstructing membrane relative to the left auricle distinguishes SMS from cor triatriatum sinister (CTS). In CTS, the left auricle is distal to the dividing membrane and connects to the distal left atrial chamber.







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