Document Detail

Sonographic features of Ebstein anomaly associated with hydrops fetalis: a report of two cases.
MedLine Citation:
PMID:  15756659     Owner:  NLM     Status:  MEDLINE    
Ebstein anomaly, an abnormally low insertion of the tricuspid valve, occurs in 0.5% of patients with congenital heart disease. In rare cases, this disorder may be complicated by congestive heart failure in utero and hydrops fetalis. This article reports the prenatal sonographic features of 2 cases of Ebstein anomaly associated with hydrops fetalis. In both cases, fetal echocardiography was performed at 34 weeks of gestation. The 4-chamber view showed fetal cardiomegaly and pericardial effusion. In both cases, the annular attachment of the tricuspid valve leaflets was difficult to demonstrate and so distal that it could easily be confused with papillary muscle in the right ventricular wall. Poor fetal cardiac hemodynamics with severe tricuspid regurgitation was demonstrated by pulsed Doppler imaging. Pulmonary regurgitation was also clearly demonstrated in both cases. Preterm delivery with stillbirth occurred in both cases. Autopsies confirmed the very distal displacement of the tricuspid valve insertion, close to the apex, and enlargement of the right atrium.
Theera Tongsong; Pharuhas Chanprapaph; Surapan Khunamornpong; Supatra Sirichotiyakul
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of clinical ultrasound : JCU     Volume:  33     ISSN:  0091-2751     ISO Abbreviation:  J Clin Ultrasound     Publication Date:    2005 Mar-Apr
Date Detail:
Created Date:  2005-03-14     Completed Date:  2005-07-19     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  0401663     Medline TA:  J Clin Ultrasound     Country:  United States    
Other Details:
Languages:  eng     Pagination:  149-53     Citation Subset:  IM    
Department of Obstetrics and Gynecology, Faculty of Medicine, Chiang Mai University, 110 Intavaroros Road, Chiang Mai 50200, Thailand.
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MeSH Terms
Abnormalities, Multiple / ultrasonography*
Ebstein Anomaly / ultrasonography*
Follow-Up Studies
Hydrops Fetalis / ultrasonography*
Prenatal Diagnosis
Ultrasonography, Doppler*
Ultrasonography, Prenatal / methods*

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