Rare diagnosis of Ebstein anomaly in an adult patient in Northern Rio de Janeiro

Ebstein anomaly is the fourth most frequent cyanotic heart disease in the neonatal period, and its clinical course is slow compared to other diseases, which in turn results in late diagnosis of this condition. We present a case of a 37-year-old man who complained of palpitation for about 5 years, tw...

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Main Authors: Rogerio Muylaert de Carvalho Britto, Adail Orrith Liborio Neto, Otávio Defanti Ramos, Mirele da Silva Cruz Defanti
Format: Article
Language:English
Published: Hospital de Clinicas de Porto Alegre ; Universidade Federal do Rio Grande do Sul (UFRGS) 2021-07-01
Series:Clinical and Biomedical Research
Subjects:
Online Access:https://seer.ufrgs.br/hcpa/article/view/101366
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author Rogerio Muylaert de Carvalho Britto
Adail Orrith Liborio Neto
Otávio Defanti Ramos
Mirele da Silva Cruz Defanti
author_facet Rogerio Muylaert de Carvalho Britto
Adail Orrith Liborio Neto
Otávio Defanti Ramos
Mirele da Silva Cruz Defanti
author_sort Rogerio Muylaert de Carvalho Britto
collection DOAJ
description Ebstein anomaly is the fourth most frequent cyanotic heart disease in the neonatal period, and its clinical course is slow compared to other diseases, which in turn results in late diagnosis of this condition. We present a case of a 37-year-old man who complained of palpitation for about 5 years, twice a week, at rest, with prolonged duration and low systemic output. Auscultation revealed irregular heart rhythm characterized by extrasystoles with a tricuspid systolic murmur grade 5+/6 and worsening on inspiration. Clinical spectrum is variable and depends on the severity of defects and associated anatomical changes. In patients who have reached adulthood, symptoms usually present as progressive cyanosis, exercise intolerance, right heart failure, and arrhythmias. In Brazil, identification of this congenital disease usually occurs in a more adult phase, affecting the prognosis and survival of patients.
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spelling doaj.art-842a142a73934e39b49ba32fb1a3a5d62022-12-21T18:45:42ZengHospital de Clinicas de Porto Alegre ; Universidade Federal do Rio Grande do Sul (UFRGS)Clinical and Biomedical Research2357-97302021-07-0141247308Rare diagnosis of Ebstein anomaly in an adult patient in Northern Rio de JaneiroRogerio Muylaert de Carvalho Britto0Adail Orrith Liborio Neto1Otávio Defanti Ramos2Mirele da Silva Cruz Defanti3Faculdade de Medicina de CamposUniversidade Federal do Rio de Janeiro Campus MacaéFaculdade de Medicina de CamposFaculdade de Medicina de CamposEbstein anomaly is the fourth most frequent cyanotic heart disease in the neonatal period, and its clinical course is slow compared to other diseases, which in turn results in late diagnosis of this condition. We present a case of a 37-year-old man who complained of palpitation for about 5 years, twice a week, at rest, with prolonged duration and low systemic output. Auscultation revealed irregular heart rhythm characterized by extrasystoles with a tricuspid systolic murmur grade 5+/6 and worsening on inspiration. Clinical spectrum is variable and depends on the severity of defects and associated anatomical changes. In patients who have reached adulthood, symptoms usually present as progressive cyanosis, exercise intolerance, right heart failure, and arrhythmias. In Brazil, identification of this congenital disease usually occurs in a more adult phase, affecting the prognosis and survival of patients.https://seer.ufrgs.br/hcpa/article/view/101366ebstein anomalyadultinsufficiency of the tricuspid valveechocardiography
spellingShingle Rogerio Muylaert de Carvalho Britto
Adail Orrith Liborio Neto
Otávio Defanti Ramos
Mirele da Silva Cruz Defanti
Rare diagnosis of Ebstein anomaly in an adult patient in Northern Rio de Janeiro
Clinical and Biomedical Research
ebstein anomaly
adult
insufficiency of the tricuspid valve
echocardiography
title Rare diagnosis of Ebstein anomaly in an adult patient in Northern Rio de Janeiro
title_full Rare diagnosis of Ebstein anomaly in an adult patient in Northern Rio de Janeiro
title_fullStr Rare diagnosis of Ebstein anomaly in an adult patient in Northern Rio de Janeiro
title_full_unstemmed Rare diagnosis of Ebstein anomaly in an adult patient in Northern Rio de Janeiro
title_short Rare diagnosis of Ebstein anomaly in an adult patient in Northern Rio de Janeiro
title_sort rare diagnosis of ebstein anomaly in an adult patient in northern rio de janeiro
topic ebstein anomaly
adult
insufficiency of the tricuspid valve
echocardiography
url https://seer.ufrgs.br/hcpa/article/view/101366
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