Assessment of Ebstein's Anomaly and Its Surgical Repair Using Transesophageal Two‐Dimensional Echocardiography and Doppler Color Flow Mapping

Abstract

Transthoracic echocardiography is generally accepted as the procedure of choice for diagnosing Ebstein's anomaly; however, an optimal evaluation is not always possible due to technical limitations. We have reported the utility of transesophageal echocardiography and Doppler color flow mapping in this condition, particularly for demonstrating structures and flow patterns in the atria and right ventricle. We conclude that in the evaluation of Ebstein$ anomaly, these two echocardiographic techniques are complementary and together can provide an excellent anatomical and functional assessment. (ECHOCARDIOGRAPHY, Volume 8, May 1991)

Echocardiographic Assessment of Ebstein's Anomaly

“…25 Dysplasia and restricted tricuspid leaflet motion can often be visualized. [28][29][30][31][32][33][34][35] Ebstein's anomaly is the most common cause of primary tricuspid regurgitation. The posterior 24 ) leaflet, which may be more severely involved than the septal leaflet, is best and most convincingly visualized in the right ventricular two-chamber view.…”

“…26,27 Lastly, many other associated cardiac abnormalities can be positively identified with 2DTTE. [28][29][30][31][32][33][34][35] Ebstein's anomaly is the most common cause of primary tricuspid regurgitation. 26 As such, color Doppler is an essential component of the echocardiographic examination.…”