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Ebstein's malformation with covered defect of the ventricular septum

Published online by Cambridge University Press:  19 August 2008

Andreas Franke*
Affiliation:
From the Medical Clinic I, Klinikum der RWTH Aachen, Aachen
Eberhard G. Mühler
Affiliation:
From the Pediatric Cardiology, Klinikum der RWTH Aachen, Aachen
Werner Hügel
Affiliation:
Cardiothoracic Surgery, Klinikum der RWTH Aachen, Aachen
*
Dr. Andreas Franke, Medical Clinic I, Klinikum of the RWTH Aachen, Pauwelsstraße 30, D 52057 Aachen, Germany. Tel. 49-241-8089300/-301; Fax. 49-241-8888414.

Abstract

The case of a 27-year-old male with Ebstein's malformation combined with a ventricular septal defect is reported. On its right ventricular side the defect was covered by the dysplastic septal tricuspid leaflet, creating a small chamber in continuity with the left ventricle, but without shunt into the remaining components of the right ventricle. The ventricular septal defect and a patent oval foramen were closed operatively after a cerebral embolic event to eliminate probable sources of thromboemboli preventing the inherent risks of life-long anticoagulation for a young patient. Intraoperative morphology confirmed the preoperative findings.

Type
Brief Reports
Copyright
Copyright © Cambridge University Press 1996

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References

1.Freedom, RM, Benson, LN. Ebstein's malformation of the tricuspid valve. In: Freedom, RM, Benson, LN, Smallhorn, J (eds). Neonatal Heart Disease. Springer, Berlin, 1992, pp 471483.Google Scholar
2.Anderson, KR, Zuberbuhler, JR, Anderson, RH, Becker, AE, Lie, JT. Morphologic spectrum of Ebstein’s anomaly of the heart. Mayo Clin Proc 1979; 54: 174180.Google ScholarPubMed
3.Watson, H. Natural history of Ebstein’s anomaly of tricuspid valve in childhood and adolescence: An international co operative study of 505 cases. Br Heart J 1974; 36: 417427.Google Scholar
4.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; 54:163173.Google Scholar
5.Rebodello, JR. Ebstein’s anomaly with right aortic arch: review of the cardiovascular defects associated with Ebstein’s malfor mation of the tricuspid valve. J Pediatr 1967; 71: 6669.Google Scholar
6.Celermajer, DS, Dodd, S, Greenwald, SE, Wyse, RKH, Deanfield, JE. Morbid anatomy in neonates with Ebstein's anomaly of the tricuspid valve: Pathophysiologic and clinical implica tions. J Am Coll Cardiol; 1992; 19: 10491053.Google Scholar