Pulmonary valve stenosis has become the most common congenital heart disease in dogs, and changes to the breeding population of dogs across the world over the last 20 years has seemingly influenced the morphology of the disease that we identify. In turn, this has posed challenges to cardiologists in terms of selecting the best diagnostic methods and approaches to treatment. In this episode, join Kieran and Jose as they interview Professor Brian Scansen from Colorado State University - interventionist, researcher, teacher and pioneer - and discuss their thoughts on the management of pulmonary valve stenosis in the 2020s.