Prenatal Diagnosis of Ebstein Anomaly

Melendres, Giselle; Ormsby, Eleanor L.; McGahan, John P.; Moon-Grady, Anita J.; Towner, Dena; Taylor, Denise E.

doi:10.7863/jum.2004.23.4.551

Cited by 10 publications

(13 citation statements)

References 11 publications

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“…It is important to keep in mind that, because targeted echocardiography in obstetrics patients is not carried out on a regular basis, the need to recognize such an anomaly on a routine prenatal sonographic examination is essential. 17 This is because Ebstein anomaly has a relatively poor prognosis during the neonatal period, where the mortality rate can be as high as 85 percent. 21 It is also essential to identify those neonates who will urgently require surgical intervention.…”

Section: Prenatalmentioning

confidence: 99%

“…It is possible that Ebstein anomaly results in severe tricuspid regurgitation and cardiac dysfunction in utero, which can lead to cardiomegaly, heart failure, pulmonary hypoplasia, tachyarrhythmias, and hydrops fetalis. 12,17 Neonatal These usually develop soon after birth and include cyanosis caused by low blood oxygen levels, right-sided congestive heart failure caused by tricuspid valve regurgitation, marked cardiomegaly caused by right heart dilatation, and arrhythmias. The cyanosis is usually associated with the right-to-left atrial shunt or severe heart failure.…”

Section: Signs and Symptoms Prenatalmentioning

confidence: 99%

“…This variation is related to the downward displacement of the tricuspid valve, which leads into a large right atrium and a smaller hypoplastic right ventricle. 17 Factors associated with increased mortality include hepatomegaly, pulmonary valve defects, ventricular septal defects, and a patent ductus arteriosus. 29 However, if the anomaly is mild, patients tend to remain stable and possibly asymptomatic for decades.…”

Section: Prognosismentioning

confidence: 99%

“…Apart from that, using a color Doppler, it is possible to detect a severely regurgitant tricuspid valve. 17 A targeted echocardiogram on a fetus is recognized as being highly reliable to diagnose Ebstein anomaly and differentiate severity. Echocardiography can show whether the atrioventricular groove is of normal heart valve tissue and whether the valve is downwardly displaced.…”

Section: Prenatalmentioning

confidence: 99%

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Ebstein Anomaly: A Review

Galea¹,

Ellul²,

Schembri³

et al. 2014

Neonatal Network

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Cardiac congenital abnormalities are a leading cause in neonatal mortality occurring in up to 1 in 200 of live births. Ebstein anomaly, also known as Kassamali anomaly, accounts for 1 percent of all congenital cardiac anomalies. This congenital abnormality involves malformation of the tricuspid valve and of the right ventricle. In this review, the causes of the anomaly are outlined and the pathophysiology is discussed, with a focus on the symptoms, management, and treatments available to date.

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Section: Prenatalmentioning

confidence: 99%

Section: Signs and Symptoms Prenatalmentioning

confidence: 99%

Section: Prognosismentioning

confidence: 99%

Section: Prenatalmentioning

confidence: 99%

See 2 more Smart Citations

Ebstein Anomaly: A Review

Galea¹,

Ellul²,

Schembri³

et al. 2014

Neonatal Network

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“…22 Melendres and coworkers set forth a right modified BlalockTaussig shunt with PDA ligation followed several months later by cavopulmonary anastomosis. 35 DeLeon and associates delineate a two-stage procedure: an initial palliative procedure with a pericardial-patch closure of the tricuspid valve and a systemic-to-pulmonary shunt with atrial septectomy and right atrial wall reduction followed by a bidirectional Glenn shunt at five to nine months of age. One patient at two years underwent a modified Fontan procedure.…”

Section: Managementmentioning

confidence: 99%

Ebstein’s Anomaly

Pashia

2007

Neonatal Network

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EBSTEIN’S ANOMALY IS A RARE congenital heart defect characterized by displacement of the tricuspid valve leaflets into the right ventricle.1The defect was first described by Wilhelm Ebstein in 1866.2This anomaly of the tricuspid valve causes the right atrium to thin and become enlarged, resulting in a wide range of clinical presentations.3Clinical presentation depends on the severity of the pathologic findings, which vary considerably from patient to patient. Some infants may present with cyanosis, respiratory distress, heart failure, and even death, whereas others may not present with mild symptoms until adolescence or adulthood.

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Cover Picture: Methylidene Rare‐Earth‐Metal Complex Mediated Transformations of CN, NN and NH Bonds: New Routes to Imido Rare‐Earth‐Metal Clusters (Chem. Eur. J. 24/2013)

Hong

Zhang

Wang

et al. 2013

Chemistry A European J

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A common approach: Overall brevity in the synthesis of the title compounds (see scheme) is achieved by a sequential electrophilic aromatic substitution of indole and a regio‐ and diastereoselective intermolecular Diels–Alder cycloaddition to establish the key precursor—a neopentyl chloride. A stereoselective Ritter reaction and dehydration are used for the installation of the isonitrile unit.

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Prenatal Diagnosis of Ebstein Anomaly

Cited by 10 publications

References 11 publications

Ebstein Anomaly: A Review

Ebstein Anomaly: A Review

Ebstein’s Anomaly

Cover Picture: Methylidene Rare‐Earth‐Metal Complex Mediated Transformations of CN, NN and NH Bonds: New Routes to Imido Rare‐Earth‐Metal Clusters (Chem. Eur. J. 24/2013)

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