Title: Case Report of Symptomatic and Asymptomatic Ebstein’s Anomaly- Cardiac MR Imaging
Authors: Seena CR, Janani AV, Kulasekaran N
DOI: https://dx.doi.org/10.18535/jmscr/v4i11.77
We hereby report two cases of Ebstein’s anomaly, one of the rare congenital heart diseases accounting for only 0.5-1.0 % of congenital heart diseases with incidence of 1 in 2,10,000 live births. Ebstein’s anomaly has a wide spectrum of findings, and ages at first presentation while some patients are asymptomatic. We present a classic case of Ebstein’s anomaly in a 22-year-old female with massive right sided cardiomegaly, downward displacement of septal tricuspid leaflet, atrialization of right ventricle associated with atrial septal defect. We also present another case of Ebstein’s anomaly in a 51-year-old male who was asymptomatic. We also emphasize the role of MRI in assessing apical displacement of the septal leaflet of tricuspid valve, mobility of antero-superior and inferior tricuspid valve leaflets, quantification of tricuspid regurgitation and size of atrialized right ventricle and to assess volume. Keywords- Ebstein’s anomaly, atrialized right ventricle, tricuspid valve.
1. Link KM, Herrera MA, D’Souza VJD, Formanek AG. MR imaging of Ebstein anomaly: results in four cases. Am J Roentgenol. 1988;150:363-7. 2. Giuliani ER, Fuster V, Brandenburg RO, Mair DD. Ebstein’s anomaly: the clinical features and natural history of Ebstein’s anomaly of the tricuspid valve. Mayo Clin Proc. 1979;54:163-73. 3. Choi YH, Park JH, Choe YH, Yoo SJ.MR Imaging of Ebstein’s Anomaly of the Tricuspid Valve.Am J Roentgenol. 1994;163:539-43. 4. Radford DJ, Graff RF, Neilson GH. Diagnosis and natural history of Ebstein’s anomaly. Br Heart J 1985;54:517-22. 5. Anderson KR, Zuberbuhler JR, Anderson RH, Becker AE, Lie JT. Morphologic spectrum of Ebstein’s anomaly of the heart. Mayo ClinProc. 1979;54:174-180. 6. Lev M, Liberthson RR, Joseph RH, et al. The pathologic anatomy of Ebstein’s disease. Arch Pathol 1970;90:334-43. 7. Silva SR, Bruner JP, Moore CA. Prenatal diagnosis of Down’s syndrome in the presence of isolated Ebstein’s anomaly. Fetal DiagnTher 1999;14:149-151. 8. Reich JD, Auld D, Hulse E, Sullivan K, Campbell R. The pediatric radiofrequency ablation registry’s experience with Ebstein’s anomaly. J Cardiovasc Electrophysi-ol 1998;9:1370-7.
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