“…Recently, there have been increased reports of using MVP to treat MR in dogs (Kanemoto et al, 1990(Kanemoto et al, , 2004Boggs et al, 1996;Griffiths et al, 2004;Uechi, 2012). However, there have been few reports of the application of MVP to treat severe MR involving the posterior leaflet (PL) in small dogs (Boggs et al, 1996;Uechi, 2012;Kanemoto et al, 2017), in whom MVR was previously indicated (Orton et al, 2005;Taguchi et al, 2014). Herein, we describe a case of severe MR caused by multiple lesions in the PL in a mixed Chihuahua, who was treated with a combination of the following three MVP techniques: artificial chordal reconstruction (CR) for the anterior leaflet (AL) and the PL, semicircular suture annuloplasty (AP) for a dilated mitral annulus, and valvuloplasty (VP) using newly devised direct scallop sutures for the PL.…”