Document Detail


Ebstein's anomaly in adults: Doppler-echocardiographic evaluation.
MedLine Citation:
PMID:  11005594     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
A systematic approach and segmental analysis are required for comprehensive assessment including both morphologic and functional abnormalities associated with Ebstein's anomaly. The essence of the disease is an apical displacement of both the septal and the posterior tricuspid leaflets, exceeding 20 mm or 8 mm/m2 in adults. As a consequence, the right heart consists of three components including the true right atrium, the functional right ventricle (RV) and an intervening zone that is anatomically ventricular but functionally right atrial (atrialized RV). The thin wall of the atrialized RV may result in an aneurysm between the anatomic tricuspid annulus and the apically displaced posterior leaflet. The annular attachment of the anterior leaflet is normal, which may be dysplastic and adherent to the RV wall. Tricuspid regurgitation is usually moderate to severe. Size, shape and function of the functional RV must be described. The paradoxical motion of the interventricular septum causes alterations in left ventricular geometry and function. An interatrial communication is frequently present. Echocardiography is the method of choice to diagnose Ebstein's anomaly on its own or in association with other heart defects.
Authors:
E Oechslin; S Buchholz; R Jenni
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  The Thoracic and cardiovascular surgeon     Volume:  48     ISSN:  0171-6425     ISO Abbreviation:  Thorac Cardiovasc Surg     Publication Date:  2000 Aug 
Date Detail:
Created Date:  2001-01-03     Completed Date:  2001-01-25     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  7903387     Medline TA:  Thorac Cardiovasc Surg     Country:  GERMANY    
Other Details:
Languages:  eng     Pagination:  209-13     Citation Subset:  IM    
Affiliation:
Echocardiography Laboratory, University Hospital, Zurich, Switzerland.
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MeSH Terms
Descriptor/Qualifier:
Adult
Age Distribution
Age Factors
Diagnosis, Differential
Ebstein Anomaly / pathology,  physiopathology,  ultrasonography*
Echocardiography, Doppler / methods*
Hemodynamics
Humans
Patient Selection
Prognosis
Reproducibility of Results
Sensitivity and Specificity
Severity of Illness Index
Ventricular Function, Left

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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