Ebstein’s Anomaly in a Golden Retriever puppy

A 3-month-old Golden retriever pup was presented with complaints of abdominal distension, lethargy and inappetence. On clinical examination pale mucous membrane, tachycardia and cardiac murmurs were observed. Haemato-biochemical examination revealed anaemia, leukocytosis, hypoalbuminaemia and elevated serum alkaline phosphatase. Radiographic findings indicated cardiac enlargement and ascites. Increased P wave duration and atrial tachycardia were the major findings on electrocardiography. Echocardiography revealed enlarged right chambers, collapsed left chambers and posteriorly placed tricuspid valves along with regurgitant flow diagnostic of Ebstein’s anomaly. Treatment was initiated with antibiotics, diuretics, ACE inhibitors and cardiac supportive. Pup succumbed to death the next day.