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KMID : 0390619980060010082
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Journal of Cardiovascular Ultrasound
1998 Volume.6 No. 1 p.82 ~ p.88
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A Case of Ebstein’s Anomaly Combined with Patent Foramen Ovale
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Han Jae-Ryong
Jung Kyung-Tae
Park Soon-Chang
Hong Suk-Kyung
Choi Hyun
Lee Seung-Chul
Chun Kyung-Il
Kim Yung-Chul
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Abstract
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Ebstein’s anomaly is characterized by a downward displacement of the tricuspid valve into the right ventricle. Its anatomical abnormality is displacement of septal and posterior leaflets of tricuspid valve from atrioven tricular ring into the body of right ventricle and therefore a portion of right ventricle is atrialized. The primary hemodynamic anomaly producing symptoms in Ebstein’s malformation is tricuspid regurgitation. Its natural history and clinical features depend on the drgree of displacement of tricuspid leaflets from atrioventricular ring. Although most patients with Ebstein’s anomaly are diagnosed in early children, some patients with a mildly deformed tricuspid valve may remain asymptomatic well into adulthood. Most common complaints adult-onset disease are exertional dyspnea, fatigue, palpitation and cyanosis. In most cases the physical examination, electrocardiogram, and roentgenogram are sufficiently to allow the diagnosis. But, recently echocardiography has played an important role in the recognition of Ebstein’s anomaly because two-dimensional echocardiography provides direct visualiation of the abnormally displaced tricuspid valve apparatus. So echocardiography has replaced angiography as the procedure of choice for diagnostic and morphologic assessment of patients with Ebstein’s anomaly. We experienced a 67-year-old female patient with Ebstein’s anomaly that was definitely diagnosed by two-dimentional echocardiography. We report this case with literature review.
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KEYWORD
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Ebstein’s anomaly, Two-dimensional echocardiography
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