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Initial evaluation conclusions and a three-year followup are reported in this report. The horse was first provided for the evaluation of chronic coughing. A left-sided, grade 4/6 holosystolic (band-shaped) murmur ended up being identified along side an identical right-sided, level 3/6 heart murmur. Echocardiography disclosed a 6.4 cm diameter interaction within the ventral atrial septum, considered an ostium primum atrial septal problem, with bidirectional shunting.
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