Members' NAVLE study guide

Canine Congenital Heart Disease: PDA, PS, SAS

3,744 words 14 min read 2 figures Reviewed November 8, 2026

Congenital heart disease (CHD) covers structural defects of the heart and great vessels present from birth. It is uncommon in dogs, with an estimated prevalence below 1% (0.13% in a study of more than 76,000 mixed-breed dogs), but it is a leading reason for a murmur in a puppy and several defects are curable if found early.

Key facts

Congenital heart abnormalities at a glance
  • Species and system: dog; cardiovascular (PRAA also affects the esophagus).
  • Most common defects: patent ductus arteriosus (PDA), pulmonic stenosis (PS) and subaortic stenosis (SAS); then ventricular septal defect (VSD). The order varies between populations.
  • Classic presentation: murmur found at the first puppy visit; continuous left basilar murmur with bounding pulses means PDA until proven otherwise.
  • Diagnosis: echocardiography with Doppler is the definitive test for all intracardiac defects.
  • Genetics: many defects are inherited; affected dogs should not be bred.
  • Not zoonotic, not reportable.

What's inside

17 sections in the full guide
  1. Key facts
  2. How the NAVLE tests this
  3. Cause and pathophysiology
  4. Patent ductus arteriosus (PDA)
  5. Pulmonic stenosis (PS)
  6. Subaortic stenosis (SAS)
  7. Ventricular septal defect (VSD)
  8. Tetralogy of Fallot (TOF)
  9. Persistent right aortic arch (PRAA)
  10. Diagnosis
  11. Differential diagnoses
  12. Treatment and management summary
  13. Prevention and breeding advice
  14. Prognosis
  15. Quick review
  16. Test yourself
  17. References
The full guide also has 4 tables, 2 figures, 3 self-test questions and 21 references, available to NAVLE members.

Read the full study guide

The full guide is part of every NAVLE plan, with diagnosis and treatment tables, figures, a quick review and self-test questions. Start a free trial to try the question bank, or log in if you are already a member.

Read the free overview article A shorter, free article on Congenital heart abnormalities on the NavleExam blog.

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