Complex Ebstein's Anomaly in an 86-Year-Old Iranian Man: A Case Report
Ebstein's anomaly is defined as the significant apical displacement of the tricuspid valve causing tricuspid regurgitation. Although a variety of concomitant lesions have been previously described, we herein introduce an unusual presentation. Our patient was an 86-year-old man with a primary p...
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| Format: | Article |
| Language: | English |
| Published: |
Tehran University of Medical Sciences
2017-03-01
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| Series: | Journal of Tehran University Heart Center |
| Subjects: | |
| Online Access: | https://jthc.tums.ac.ir/index.php/jthc/article/view/678 |
| _version_ | 1811258391504355328 |
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| author | Bahieh Moradi Farideh Roshanali |
| author_facet | Bahieh Moradi Farideh Roshanali |
| author_sort | Bahieh Moradi |
| collection | DOAJ |
| description | Ebstein's anomaly is defined as the significant apical displacement of the tricuspid valve causing tricuspid regurgitation. Although a variety of concomitant lesions have been previously described, we herein introduce an unusual presentation. Our patient was an 86-year-old man with a primary presentation of typical chest pain in the setting of recently diagnosed coronary artery disease with concomitant Ebstein’s anomaly. We found mild-to-moderate tricuspid regurgitation, bicuspid aortic valve, persistent left superior vena cava, and patent foramen ovale. The patient had suffered from chest discomfort on exertion for 2 months with good functional capacity prior to diagnosis. Coronary angiography revealed two-vessel disease. The patient refused surgery. He was treated with medical anti-ischemic therapy. He had good exercise tolerance with relief of chest pain at the latest follow-up.
The features demonstrated in this case report suggest that there may be several adult survivors of complex congenital heart diseases requiring individualized surgical treatment plans. |
| first_indexed | 2024-04-12T18:13:39Z |
| format | Article |
| id | doaj.art-0aaca64707e5440c86c374a27242a8a6 |
| institution | Directory Open Access Journal |
| issn | 1735-8620 2008-2371 |
| language | English |
| last_indexed | 2024-04-12T18:13:39Z |
| publishDate | 2017-03-01 |
| publisher | Tehran University of Medical Sciences |
| record_format | Article |
| series | Journal of Tehran University Heart Center |
| spelling | doaj.art-0aaca64707e5440c86c374a27242a8a62022-12-22T03:21:44ZengTehran University of Medical SciencesJournal of Tehran University Heart Center1735-86202008-23712017-03-01121463Complex Ebstein's Anomaly in an 86-Year-Old Iranian Man: A Case ReportBahieh Moradi0Farideh Roshanali1Day General Hospital, Tehran, Iran.Day General Hospital, Tehran, Iran.Ebstein's anomaly is defined as the significant apical displacement of the tricuspid valve causing tricuspid regurgitation. Although a variety of concomitant lesions have been previously described, we herein introduce an unusual presentation. Our patient was an 86-year-old man with a primary presentation of typical chest pain in the setting of recently diagnosed coronary artery disease with concomitant Ebstein’s anomaly. We found mild-to-moderate tricuspid regurgitation, bicuspid aortic valve, persistent left superior vena cava, and patent foramen ovale. The patient had suffered from chest discomfort on exertion for 2 months with good functional capacity prior to diagnosis. Coronary angiography revealed two-vessel disease. The patient refused surgery. He was treated with medical anti-ischemic therapy. He had good exercise tolerance with relief of chest pain at the latest follow-up. The features demonstrated in this case report suggest that there may be several adult survivors of complex congenital heart diseases requiring individualized surgical treatment plans.https://jthc.tums.ac.ir/index.php/jthc/article/view/678Ebstein anomaly • Tricuspid valve regurgitation • Life expectancy |
| spellingShingle | Bahieh Moradi Farideh Roshanali Complex Ebstein's Anomaly in an 86-Year-Old Iranian Man: A Case Report Journal of Tehran University Heart Center Ebstein anomaly • Tricuspid valve regurgitation • Life expectancy |
| title | Complex Ebstein's Anomaly in an 86-Year-Old Iranian Man: A Case Report |
| title_full | Complex Ebstein's Anomaly in an 86-Year-Old Iranian Man: A Case Report |
| title_fullStr | Complex Ebstein's Anomaly in an 86-Year-Old Iranian Man: A Case Report |
| title_full_unstemmed | Complex Ebstein's Anomaly in an 86-Year-Old Iranian Man: A Case Report |
| title_short | Complex Ebstein's Anomaly in an 86-Year-Old Iranian Man: A Case Report |
| title_sort | complex ebstein s anomaly in an 86 year old iranian man a case report |
| topic | Ebstein anomaly • Tricuspid valve regurgitation • Life expectancy |
| url | https://jthc.tums.ac.ir/index.php/jthc/article/view/678 |
| work_keys_str_mv | AT bahiehmoradi complexebsteinsanomalyinan86yearoldiranianmanacasereport AT faridehroshanali complexebsteinsanomalyinan86yearoldiranianmanacasereport |