Paco is a 10 year old Chihuahua/Pekingese/Pomeranian mix from the San Francisco, CA. Paco was diagnosed at Stage B2 in October 2016. He is currently on pimobendan and enalapril, but no diuretics. Non-active at baseline, visits the dog park 1-2x/day, and takes short walks around the neighborhood or at the beach. Currently, he has no outward symptoms, other than a loud murmur. Paco is scheduled for surgery at the JASMINE clinic in Japan on July 24, 2017. We hope that Paco continues to be symptom free while he waits patiently for his big adventure.