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elated to the presence of neorickettsiosis in the region. Nonsurvival and laminitis rates were high, likely related to the presence of neorickettsiosis in the region. Left pulmonary vein (PV) obstruction can occur due to compression between the left atrium (LA) and the descending aorta (DA). One of the effective solutions for this problem is posterior aortopexy. In this study, we have reported five cases of posterior aortopexy to relieve left PV obstruction between the LA and the DA. Since August 2012, five patients have undergone poster