Subvalvular aortic stenosis (SAS), one of the most common inherited cardiac diseases in dogs, is a major concern for many owners of large breed dogs including the Newfoundland, golden retriever, American Staffordshire terrier and Rottweiler. SAS is caused by an abnormal ring or ridge of tissue in the left ventricle of the heart resulting in a partial obstruction of the left ventricular outflow tract; the pathway that allows blood to flow from the left ventricle, through the aortic valve and into the aorta which carries oxygenated blood to the body. In mild cases, dogs live a normal life, free of clinical signs related to the vessel narrowing. However, in moderate to severe cases of SAS, the increased strain placed upon the heart to pump blood through the partially obstructed aortic valve can result in structural changes of the heart muscle, congestive heart failure, arrhythmias and sudden death. SAS also predisposes dogs to development of potentially lethal bacterial infections of the aortic valve. Unfortunately, it is not possible to predict the severity of disease in puppies by examining the hearts of affected parents. Mildly affected parents can have severely affected puppies and vice versa. On average, SAS-affected dogs only live to ...