Commonly reported in certain breeds, E.g Keeshond, Schnauzer, Poodles and terriers.
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''Clinical Signs:''
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*Cyanotic; see severe exercise intolerance.
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*Systolic murmur due to pulmonic stenosis +/- precordial thrill.
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*Polycythemia due to chronic hypoxia.
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''Diagnosis:''
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*Right ventricular enlargement on radiology and ECG.
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*Post stenotic dilatation of pulmonary artery on radiology and pulmonary undercirculation due to right to left shunting.
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*Echocardiography may show right ventricular hypertrophy, paradoxical motion of interventricular septum (pressure RV>LV), visulaisation of VSD and overriding aorta.
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*Doppler useful to image pulmonic stenosis and VSD.