Case Sharing – Myxomatous Mitral Valve Disease [JoJo]

Cute dog with medical harness at veterinary clinic for mitral valve disease.

JoJo is an 11-year-old poodle. He presented to HVSEH with a heart murmur and a cough.

A common condition primarily seen in small, middle-aged to older dogs

An echocardiogram revealed myxomatous mitral valve disease, a common condition primarily seen in small, middle-aged to older dogs, though any dog can be affected.

Detailed diagram of a dog's heart showing chambers and valves.
Echocardiogram showing left ventricle and atrium with mitral regurgitation.

Mitral Regurgitation

In this disease, mitral regurgitation (a leak in the mitral valve) occurs. The mitral valve lies between the two left-sided heart chambers—the left atrium, which receives blood from the lungs, and the left ventricle, which pumps this blood to the body. Over time, the persistent leak can cause these chambers to enlarge, increasing pressure in the heart and leading to a buildup in the blood vessels of the lungs. This may result in pulmonary oedema, a condition where fluid escapes the blood vessels and accumulates in lung tissue, causing breathing difficulties and sometimes a cough.

Chest X-ray showing pulmonary edema in a veterinary patient.
X-ray image showing resolved pulmonary edema in a pet dog.

JoJo’s chest radiographs showed he had pulmonary oedema. Our Cardiology Specialist, Samantha Gomart, prescribed medications to help clear the fluid. A week later, we reevaluated his response to the treatment and assessed whether any adjustments were needed. His cough had improved, and radiographs confirmed that the pulmonary oedema had resolved. He is now doing well on his medications.

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