21. Mitral Valve Disease,heart Matters Exit Exit mitral valve disease (Stenosis,Insuficiency). FS.SADR MDFACS. mitral valve disease COULD CAUSE MITRAL STENOSIS (MS) OR http://www.enter.net/~fsadr/mitvalve.htm

Mitral Valve disease (Stenosis,Insuficiency) F.S.SADR MD FACS MITRAL VALVE DISEASE COULD CAUSE MITRAL STENOSIS (MS) OR REGURGITATION (MR).IN MITRAL STENOSIS(MS) TOO LITTLE BLOOD DRAINS TO THE MAIN PUMPING CHAMBER OF THE HEART (LEFT VENTRICLE,LV),IN CONTRAST WITH MITRAL REGURGITATION (MR) PORTION OF THE BLOOD FROM LEFT VENTRICLE WILL REGURGITATE IN TO THE LEFT ATRIUM (CHAMBER ABOVE MITRAL VALVE) THROUGH THE MITRAL VALVE AND SUBSEQUENTLY BLOOD WILL BACK UP IN TO THE LUNGS AND CAUSES NUMEROUS SYMPTOMS. INDICATIONS FOR SPECIFIC VALVE TYPE WHETHER THEY BE MECHANICAL OR BIOPROSTHESIS ,HAVE BEEN REGOROUSLY DEFINED IN RECENT YEARS .CANDIDATE FOR BIOPROSTHESIS WOULD BE: OLDERS PATIENT PATIENTS WHO ARE NONCOMPLIANT. PATIENTS WHO HAVE CONTRAINDICATIONS TO ANTICOAGULATION . PATIENT IN NORMAL SINUS RHYTHEM. YOUNG FEMALE DESIROUS OF FUTURE PREGNANCY. RECENT DATA SUGGEST THAT PATIENT AGE AND PRESENCE OF CORONARY ARTERY DISEASE MAY SIGNIFICANTLY ALTER THE INDICATIONS FOR MECHANICAL OR BIOPROSTHESIS(TISSUE VALVES).SURVIVAL FOR MITRAL VALVE REPLACEMENT IS AFFECTED BY ETIOLOGY OF THE VALVE DISEASE NECESSITATING THE OPERATION. THE BEST SURVIVAL OCCURS IN PATIENTS IN WHOM THE MITRAL VALVE REPLACEMENT IS FOR MYXOID DEGENERATION (NONRHEUMATIC,NON CALCIFIC)

22. Florida State University College Of Medicine Digital Library mitral valve disease Clinical Resources. General Access document; mitral valve diseaseAccess document. Family Practice Handbook 4th Ed.2001 Table of contents http://fsumed-dl.slis.ua.edu/clinical/cardiology/valvular/valve.html

Clinical Resources by Topic: Cardiovascular Disorders Mitral Valve Disease Clinical Resources Emergency Pediatrics Geriatrics Radiology ... Miscellaneous Resources See also: Congenital Heart Disease Clinical Resources Cardiovascular Clinical Procedure Resources General Cardiovascular Disorders Clinical Resources Mitral Valve Disease Patient/Family Resources Harrison's Principles of Internal Medicine 15th Ed.-2001: Table of contents Medical Library subscription INFO Chapter 236: Valvular Heart Disease: Table of contents Introduction Access document Mitral Stenosis: Access document Introduction: Access document Etiology and Pathology: Access document Pathophysiology: Access document Symptoms and Complications: Access document Physical Findings: Access document Laboratory Examination: Access document Differential Diagnosis: Access document Cardiac Catheterization and Angiocardiography: Access document Treatment: Access document Mitral Regurgitation: Access document Introduction: Access document Etiology: Access document Pathophysiology: Access document Symptoms: Access document Physical Findings: Access document Laboratory Examination: Access document Treatment: Access document Mitral Valve Prolapse: Access document Introduction: Access document Clinical Features: Access document Laboratory Examination: Access document Treatment: Access document Valve Replacement: Access document Braunwald-Heart Disease: A Textbook of Cardiovascular Medicine 6th Ed.-2001 (MD Consult):

23. Florida State University College Of Medicine Digital Library mitral valve disease Patient/Family Resources. Miscellaneous. Miscellaneous MitralValve Disease Patient/Family Resources Healthfinder (US DHHS) Homepage http://fsumed-dl.slis.ua.edu/patientinfo/cardiology/valvular/mvp.html

Patient/Family Resources by Topic: Cardiovascular Disorders Mitral Valve Disease Patient/Family Resources Spanish Miscellaneous See also: General Cardiovascular Disorders Patient/Family Resources Mitral Valve Disease Clinical Resources MD Consult: Homepage Medical Library subscription INFO Patient Handouts Table of content Mitral Valve Stenosis: Access document Image Mitral Valve Prolapse: Access document Image Harrison's Principles of Internal Medicine 15th Ed.-2001: Table of contents Medical Library subscription INFO Patient Notes Related to Harrison's Principles of Internal Medicine, 15th Edition: Table of contents Mitral Valve Prolapse: Access document American Heart Association: Homepage Heart and Stroke A-Z Guide: Table of contents Mitral Valve and Mitral Valve Prolapse: Access document National Heart, Lung and Blood Institute: Homepage Cardiovascular Information for Patients and the General Public: List of documents Other Cardiovascular Information for Patients/General Public: List of documents Facts About Mitral-Valve Prolapse: Access document American Academy of Family Physicians (familydoctor.org):

24. MITRAL VALVE DISEASE AND HEART FAILURE IN DOGS mitral valve disease AND HEART FAILURE IN DOGS What is the mitral valve?The heart has four chambers. How common is mitral valve disease? http://www.pethealthcare.net/html/body_mitral_valve_disease_and_heart.html

MITRAL VALVE DISEASE AND HEART FAILURE IN DOGS What is the mitral valve? The heart has four chambers. The upper chambers are called atria (singular: atrium), and the lower chambers are called ventricles. The heart is also divided into right and left sides. Blood flows from the body into the right atrium. It is stored there briefly then pumped into the right ventricle. The right ventricle pumps blood into the lungs where it receives oxygen. It flows from the lungs into the left atrium where it is held a few seconds before going into the left ventricle. The left ventricle is surrounded by the largest and strongest of the heart muscles. This large muscle is necessary to pump blood to all parts of the body. Each side of the heart has a valve to keep blood from going backward from the ventricles to the atria. The valve between the left atrium and left ventricle is called the mitral valve. Because of the very large pressure created when the left ventricle contracts, the mitral valve wears out in many dogs. This wearing out process begins with a small leak that gradually gets more severe. How common is mitral valve disease?

25. CCHS Clinical Digital Library mitral valve disease Clinical Resources. General Access document; mitral valve diseaseAccess document. Family Practice Handbook 4th Ed.2001 Table of contents http://cchs-dl.slis.ua.edu/clinical/cardiology/valvular/valve.html

Clinical Resources by Topic: Cardiovascular Disorders Mitral Valve Disease Clinical Resources Emergency Pediatrics Geriatrics Radiology ... Miscellaneous Resources See also: Congenital Heart Disease Clinical Resources Cardiovascular Clinical Procedure Resources General Cardiovascular Disorders Clinical Resources Mitral Valve Disease Patient/Family Resources Harrison's Principles of Internal Medicine 15th Ed.-2001: Table of contents Health Sciences Library subscription INFO Chapter 236: Valvular Heart Disease: Table of contents Introduction Access document Mitral Stenosis: Access document Introduction: Access document Etiology and Pathology: Access document Pathophysiology: Access document Symptoms and Complications: Access document Physical Findings: Access document Laboratory Examination: Access document Differential Diagnosis: Access document Cardiac Catheterization and Angiocardiography: Access document Treatment: Access document Mitral Regurgitation: Access document Introduction: Access document Etiology: Access document Pathophysiology: Access document Symptoms: Access document Physical Findings: Access document Laboratory Examination: Access document Treatment: Access document Mitral Valve Prolapse: Access document Introduction: Access document Clinical Features: Access document Laboratory Examination: Access document Treatment: Access document Valve Replacement: Access document Braunwald-Heart Disease: A Textbook of Cardiovascular Medicine 6th Ed.-2001 (MD Consult):

26. CCHS Clinical Digital Library mitral valve disease Patient/Family Resources. Miscellaneous. Miscellaneous MitralValve Disease Patient/Family Resources Healthfinder (US DHHS) Homepage http://cchs-dl.slis.ua.edu/patientinfo/cardiology/valvular/mvp.html

Patient/Family Resources by Topic: Cardiovascular Disorders Mitral Valve Disease Patient/Family Resources Spanish Miscellaneous See also: General Cardiovascular Disorders Patient/Family Resources Mitral Valve Disease Clinical Resources MD Consult: Homepage Health Sciences Library subscription INFO Patient Handouts Table of content Mitral Valve Stenosis: Access document Image Mitral Valve Prolapse: Access document Image Harrison's Principles of Internal Medicine 15th Ed.-2001: Table of contents Health Sciences Library subscription INFO Patient Notes Related to Harrison's Principles of Internal Medicine, 15th Edition: Table of contents Mitral Valve Prolapse: Access document American Heart Association: Homepage Heart and Stroke A-Z Guide: Table of contents Mitral Valve and Mitral Valve Prolapse: Access document National Heart, Lung and Blood Institute: Homepage Cardiovascular Information for Patients and the General Public: List of documents Other Cardiovascular Information for Patients/General Public: List of documents Facts About Mitral-Valve Prolapse: Access document American Academy of Family Physicians (familydoctor.org):

27. Mitral Valve Clinic Mitral Valve Clinic. The diagnosis and treatment of mitral valve diseaseis an integral part of the delivery of heart care services. http://www.um-cardiac-surgery.org/03b_clinics.htm

University of Michigan Health System (UMHS) 1500 E Medical Ctr Dr Ann Arbor, MI 48109 www.med.umich.edu Mitral Valve Clinic The diagnosis and treatment of mitral valve disease is an integral part of the delivery of heart care services. The University of Michigan Medical Center is a leader in the diagnosis and treatment of mitral valve disease. Mitral valve disease and its complications, mitral prolapse syndrome, mitral murmurs, congestive heart failure, shortness of breath, embolism, atrial fibrillation, etc. affect tens of thousands of patients each year. This interdisciplinary program was founded to provide these patients with services that their primary care physicians and cardiologists can not provide, including: provision of identified patients with a multi-disciplinary approach to the diagnosis and treatment of mitral valve disease evaluation of the etiology of mitral valve disease generation of research literature regarding mitral disease provision of patients and referring physicians with mitral valve disease education in the areas of effective diagnostic methods and treatment options available identification and targeting of adult patients at risk for and with mitral valve disease Comprehensive evaluation of patients with mitral valve disease is a frustrating problem in the practice of cardiology, internal medicine and family practice, as many physicians are not familiar with the scope of this disease. The establishment of this program is in keeping with current trends in medical care, which are focusing on timely, effective interdisciplinary approaches to the treatment of systemic diseases.

28. Mitral Valve Disease The Coughing Dog mitral valve disease. Also congenital mitral valve disease.Eventual outcome is likely to be congestive cardiac failure. http://www.vetdot.com/coughmv.htm

The Coughing Dog - mitral valve disease May be due to endocardiosis, bacterial endocarditis or rupture of chordae tendineae (usually secondary to endocardiosis). Also congenital mitral valve disease. Eventual outcome is likely to be congestive cardiac failure. Common in Cavalier King Charles, Chihuahua, Miniature Poodles, Minaiture Schnauzer and Pekingese. Clinical Signs systolic heart murmur dyspnoea cough exercise intolerance / collapse etc. Diagnosis Not every small breed with a heart murmur that coughs is in heart failure! It is important to look for (or at least consider other causes eg collapsing trachea). Chest radiographs should be obtained and a proper clinical assessment carried out before assuming the diagnosis. Lateral and DV radiographs should be obtained to look in particular for left atrial enlargement, pulmonary oedema or pleural effusion. Treatment Ace inhibitors (enalapril, benazapril, ramipril)

29. Wockhardt Hospital-Know Your Heart-Valve Disease Valve Disease. Rheumatic. · mitral valve disease · Aortic ValveDisease · Multiple Valve disease. - Non- Rheumatic. · Mitral Valve http://www.whhi.com/valve.htm

Valve Disease - Rheumatic - Non- Rheumatic :: Aortic Stenosis :: Aortic Regurgitation Valvular heart disease describes structural or functional abnormalities of single or multiple cardiac valves that results in alteration in blood flow across the valve. According to the causes it can be classified as: Rheumatic Rheumatic origin: Preceded by rheumatic fever Rheumatic fever Is an inflammatory disease, which occurs as a delayed sequel to pharyngeal infection with Beta hemolytic streptococci (Bacteria). This may lead to rheumatic heart disease if not treated properly on time. Rheumatic endocarditis Primarily affects the valve leading to fibrous thickening of the valve leaflets or even calcification leads to stenosis. Mitral and aortic valve commonly involved. Management: Antibiotics-Penicillin is the drug of choice. Salicylates and corticosteroids are also used. Non-Rheumatic Non-rheumatic origin: Caused by congenital malformations, bacterial endocarditis, syphilis etc.

30. Heart Valve Disease Valve Disease. mitral valve disease General Overview. Please click on the linksbelow for specific information about the types of mitral valve disease http://www.mercyweb.org/heartcenter/html/hvd_detail.asp?ContentId=114

31. Heart Care - Mitral Valve Prolapse - Methodist Health Care System, Houston, Texa A brief look at mitral valve prolapse and its treatment.Category Health Conditions and Diseases mitral valve disease...... mitral valve prolapse Specific treatment will be determined by your physician basedon your age, overall health, and medical history; extent of the disease; http://www.methodisthealth.com/health/heart/mvprolap.htm

Heart Care Home Las Enfermedades Cardiovasculares (en español) Clinical Services Methodist DeBakey Heart Center Multi-Organ Transplant Center at The Methodist Hospital Methodist Diagnostic Hospital Methodist Sugar Land Hospital ... Appointment Mitral Valve Prolapse What is mitral valve prolapse (MVP)? Treatment for mitral valve prolapse: Specific treatment will be determined by your physician based on: your age, overall health, and medical history extent of the disease your tolerance for specific medications, procedures, or therapies expectations for the course of the disease your opinion or preference Most patients have no symptoms of mitral valve prolapse and, therefore, will not require any treatment. Antibiotics may be given to persons who have leaky valves, and who are undergoing dental or surgical procedures. These antibiotics are given to prevent an infection called bacterial endocarditis. Click here to view the Online Resources page of this Web.

32. Mitral Valve Disease mitral valve disease. The mitral valve is located on the left side of the heart. Surgeryfor mitral valve disease may entail repair of the valve or replacement. http://www.ctvsurgery.org/articles.htm

Articles MITRAL VALVE DISEASE The mitral valve is located on the left side of the heart. It separates the atrium from the left ventricle. The right side of the heart collects blood from the body and directs it to the lungs for oxygenation. The left atrium collects blood from the lungs and then propels the oxygenated blood to the left ventricle. The left ventricle then contracts and pushes the blood through the aortic valve to the brain and the rest of the body. Mitral valve disease can manifest as either mitral stenosis, which is a narrowing of the mitral valve opening, or mitral regurgitation, which results in a valve that allows free flow in both directions. A person may be born with mitral stenosis and in fact, some children require operation at a very early age. Most people develop mitral stenosis later in life die to calcification of the valve. Rheumatic heart disease, which may follow a case of rheumatic fever, often affects the mitral valve and can lead to scarring, calcification, and thickening of the mitral valve leaflets. This may result in mitral stenosis, mitral regurgitation, or even a combination of the two. Although mitral stenosis may be corrected by valve repair in some patients, in the vast majority replacement of the valve is necessary. Mitral regurgitation occurs when the leaflets of the valve fail to meet, which results in backflow through the valve. The end result is that the ventricle (the pumping chamber of the heart) has to work twice as hard to supply the same amount of oxygenated blood to the body. Eventually, due to the increased workload, the ventricle will increase in size and become weakened, and may suffer irreparable harm. Mitral regurgitation may be due to prolapse of one of the valve leaflets. More often it is due to thinning of the leaflet tissue over time, dilatation of the base of the valve

33. Tout Sur La Mitral Valve Disease physiologique. Comment repérer le problème selonles symptômes. Que peut on faire ? Pour compléter votre culture. Inscrivezvous....... pour nos CKC. http://fckc.com/base/base_mvd.html

34. Mitral Valve Disease safe. We do not sell our customer's information! A New Treatment formitral valve disease Friday, August 30, 2002. Chihuahuas and http://pages.prodigy.net/pkpinkham/mitral_valve_disease.htm

Search our Site: Links within Our Page For more information Click Below If you do not see a link to what you are looking for in the left column, you will find more links in the information section of our web site. Other Links of Interest Visit our church! ASPCA Site PETA Site AKC Site Our favorite Pet Store Increase traffic to your web site! Create your dog's pedigree now! Free Sign-up for Paypal! Click on button below! Use charge cards or checking accounts to adopt a Chihuahua by using our Paypa l! A good way to get your site advertised FREE! At our website any information you give us is confidential and kept safe. We do not sell our customer's information! A New Treatment for Mitral Valve Disease Friday, August 30, 2002 Chihuahuas and human beings don’t appear to have a lot in common. But one thing Chihuahuas and humans do have in common is that they both can suffer from heart disease — specifically mitral valve disease. Unfortunately, the cure that’s available for people — surgical replacement of defective heart valves — isn’t practical for Chihuahuas. Consequently, treatment of Chihuahuas with mitral valve disease involves trying to control the disease. Meanwhile, without proper care, some Chihuahuas may die within two years of diagnosis. A researcher at the University of Illinois Urbana-Champaign is giving owners of Chihuahuas with advanced mitral valve disease new hope. Using a medication that’s usually prescribed for human cardiovascular patients, Mark Oyama, D.V.M., assistant professor of small animal specialty medicine at the College of Veterinary Medicine, may have found a way to reduce the effects of mitral valve disease in dogs, literally giving these dogs new leases on life.

35. Mitral Valve Disease mitral valve disease What is mitral valve disease (MVD)? The first signal that adog might have mitral valve disease is the development of a heart murmur. http://www.rhiannon-cavaliers.com/mvd.htm

Home E-Mail News Web ... Contact Cavaliers Mitral Valve Disease What is Mitral Valve Disease (MVD)? The heart consists of 4 chambers, 2 atria and 2 ventricles, with the atrioventricular valves ensuring that blood flows from the atria to the ventricles when the heart is beating. A defect or weakness in the mitral valve or the left atrioventricular valve allows some blood to move back into the left atrium, known as mitral regurgitation. This means the heart is less efficient at pumping blood through the body. Mitral valve insuffiency is the most common of the acquired cardiac disesase in older dogs, affecting over 1/3 of dogs older than 10 years. However, in certain breeds, mitral valve insufficiency develops at a younger age, due to an inherited predisposition for the disorder. Some of the breeds affected with a higher incidence of this condition are the Cavalier King Charles Spaniel, Cairn Terrier, all 3 sizes of Poodles, Bull Terrier, Miniature Pinschers, Whippets, Chihuahua, Pekinese, Dachshund, Beagle, Papillion, Dobermans, Great Dane and German Shepherd. In general, the smaller breeds are most often affected. What does it really mean?

36. MITRAL VALVE REPAIR (text) Degenerative mitral valve disease may be due to an elongation or rupture of the chordalapparatus, the heartstrings that support the valve normally, or due http://www.sts.org/doc/4107

MITRAL VALVE REPAIR Description Author: Thoralf M. Sundt, MD Medical Illustrations: Jill Rhead, MA TABLE OF CONTENTS Introduction Why Is Surgery Necessary? When Is Surgery Necessary? What Are The Results of Mitral Valve Repair? ... What Will My Condition Be Like After Mitral Valve Repair? INTRODUCTION Mitral valve repair is an open heart procedure performed by cardiothoracic surgeons to treat stenosis (narrowing) or regurgitation (leakage) of the mitral valve . The mitral valve is the "inflow valve" for the left side of the heart. Blood flows from the lungs, where it picks up oxygen, and into the heart through the mitral valve. When it opens, the mitral valve allows blood to flow into the heart's main pumping chamber called the left ventricle. It then closes to keep blood from leaking back into the lungs when the ventricle contracts (squeezes) to push blood out to the body. It has two flaps, or leaflets. The mitral valve is highlighted on this illustration of a heart. The mitral valve is the "inflow valve" for the left side of the heart. Blood flows from the lungs, where it picks up oxygen, and into the heart through the mitral valve. (Click on the illustration to enlarge it.) Occasionally, the mitral valve is abnormal from birth (

37. Mitral Valve Prolapse This intrigues researchers searching for the cause(s) of mitral valve disease andattempting to explain why the condition manifests itself so differently in http://www.womensheartfoundation.org/content/HeartDisease/mitral_valve_prolapse.

Home About WHF Seminars Programs ... Ask the Nurse Mitral Valve Prolapse Mitral valve prolapse (MVP) is the most common condition of the heart valves. Some studies show it affects 6% of all women. Incidence MVP is extremely interesting since it is so commonly diagnosed in young women and yet, the incidence decreases markedly in elder women. This drop off in incidence is not seen in the male population (refer to graph below). The occurrence of MVP in men is consistent in both young and old populations. Previous to the Framingham study, the incidence of MVP was thought to be much higher in women, however, with this new data, it is now believed that MVP affects equal numbers of men and women. This intrigues researchers searching for the cause(s) of mitral valve disease and attempting to explain why the condition manifests itself so differently in men and women. The cause of MVP is usually unknown but occassionally, MVP is associated with other heart conditions (e.g. atrial septal defect, coronary artery disease, diseases of the heart muscle) but most likely, these diseases would have been present with or without MVP. The outcome from MVP differs for men and women too. Recent studies have indicated that, for men, the incidence of mitral prolapse requiring surgical intervention is higher than for women and increases with age.

38. MEDLINEplus Medical Encyclopedia: Mitral Valve Prolapse A definition of mitral stenosis, as well as alternative name, causes, and risk factors are discussed Category Health Conditions and Diseases mitral valve disease...... Mitral valve prolapse has been associated with Marfan's syndrome (a disorderpresent from birth), Graves' disease, and other disorders. http://www.nlm.nih.gov/medlineplus/ency/article/000180.htm

Skip navigation Medical Encyclopedia Other encyclopedia topics: A-Ag Ah-Ap Aq-Az B-Bk ... Z Mitral valve prolapse Contents of this page: Illustrations Alternative names Definition Causes, incidence, and risk factors ... Prevention Illustrations Heart, section through the middle Mitral valve prolapse Heart valve surgery - series Alternative names Return to top Barlow's syndrome; Floppy mitral valve; Myxomatous mitral valve; Billowing mitral valve; Systolic click-murmur syndrome; Prolapsing mitral leaflet syndrome Definition Return to top Mitral valve prolapse is a disorder in which the heart's mitral valve which separates the left upper chamber (atrium) from the left lower chamber (ventricle) billows out and does not close properly. Causes, incidence, and risk factors Return to top Mitral valve prolapse can be caused by a variety of mechanisms. In most cases, it is harmless and does not cause symptoms or need to be treated. In a small number of cases, it can cause severe mitral regurgitation (leakage of blood back through the valve) and needs to be treated with surgery. Some forms of mitral valve prolapse seem to be hereditary. Mitral valve prolapse has been associated with

39. Ventricular Septal Defect With Congenital Mitral Valve Disease: Long-Term Result Ventricular Septal Defect with Congenital mitral valve disease LongTermResults of Corrective Surgery. Saket Agarwal, Balram Airan http://www.indianheartjournal.org/JanFeb2002/Ventricular Septal Defect/summaryve

Ventricular Septal Defect with Congenital Mitral Valve Disease: Long-Term Results of Corrective Surgery Saket Agarwal, Balram Airan, Ujjwal K Chowdhury, Shiv K Choudhary, Rajesh Sharma, Anil Bhan, Anita Saxena, Panangipalli Venugopal Departments of Cardiothoracic Surgery and Cardiology, Cardiothoracic Centre, All India Institute of Medical Sciences, New Delhi Background: A retrospective analysis of the mortality, morbidity and long-term follow-up of patients undergoing corrective surgery for ventricular septal defect and congenital mitral valve disease is presented. Methods and Results: Between January 1991 and December 2000, 69 consecutive patients aged 2 months to 45 years (median 18 months) underwent repair of ventricular septal defect and associated mitral valve disease. In 52 patients (75%), the ventricular septal defects were located in the perimembranous and subarterial area. Forty-six patients had congenital mitral incompetence and 23 had congenital mitral stenosis. The ventricular septal defect was repaired through the right atrium in all. Sixty-five patients underwent reconstruction of the

40. Mitral Valve Disease And Heart Failure In Dogs mitral valve disease AND HEART FAILURE IN DOGS. What is the mitral valve?The heart has four chambers. How common is mitral valve disease? http://www.drpetra.com/Dogs/Mitral Valve & Heart Failure in Dogs.htm

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