Ebstein Anomaly in Pregnancy
A 27-year-old primiparous woman with 28 weeks gestational age was admitted to our hospital with worsening shortness of breath. She was diagnosed with Ebstein’s anomaly three years ago, but preferred to be left untreated. The patient was not cyanotic and her vital signs were stable. Her ECG showed in...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Interna Publishing
2017-02-01
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| Series: | Acta Medica Indonesiana |
| Subjects: | |
| Online Access: | http://www.actamedindones.org/index.php/ijim/article/view/300 |
| _version_ | 1818081838051098624 |
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| author | Lusiani Rusdi Syahrir Azizi Christopher Suwita Astrid Karina Sally A Nasution |
| author_facet | Lusiani Rusdi Syahrir Azizi Christopher Suwita Astrid Karina Sally A Nasution |
| author_sort | Lusiani Rusdi |
| collection | DOAJ |
| description | A 27-year-old primiparous woman with 28 weeks gestational age was admitted to our hospital with worsening shortness of breath. She was diagnosed with Ebstein’s anomaly three years ago, but preferred to be left untreated. The patient was not cyanotic and her vital signs were stable. Her ECG showed incomplete RBBB and prolonged PR-interval. Blood tests revealed mild anemia. Observation of two-dimensional echo with color flow Doppler study showed Ebstein’s anomaly with PFO as additional defects, EF of 57%, LV and LA dilatation, RV atrialization, severe TR, and moderate PH with RVSP of 44.3 mmHg. The patient then underwent elective sectio caesaria at 30 weeks of gestational age; both the mother and her baby were alive and were in good conditions. Problem: there was an increasing breathlessness in this patient so that there was an increasing need to take a decision for her pregnancy.
Ebstein’s anomaly is a complicated congenital anomaly. Medical treatment may be followed for many years in patients with mild forms of Ebstein’s anomaly. Surgery should be considered if there is objective evidence of debasement such as significant enlargement of heart size, reduction of systolic function in echocardiography. |
| first_indexed | 2024-12-10T19:12:34Z |
| format | Article |
| id | doaj.art-d72d8c96f0b94fa78e5614777fbabd7c |
| institution | Directory Open Access Journal |
| issn | 0125-9326 2338-2732 |
| language | English |
| last_indexed | 2024-12-10T19:12:34Z |
| publishDate | 2017-02-01 |
| publisher | Interna Publishing |
| record_format | Article |
| series | Acta Medica Indonesiana |
| spelling | doaj.art-d72d8c96f0b94fa78e5614777fbabd7c2022-12-22T01:36:42ZengInterna PublishingActa Medica Indonesiana0125-93262338-27322017-02-01484325326180Ebstein Anomaly in PregnancyLusiani Rusdi0Syahrir Azizi1Christopher Suwita2Astrid Karina3Sally A Nasution4Department of Internal Medicine, Faculty of Medicine Universitas Indonesia - Cipto Mangunkusumo Hospital, Jakarta, IndonesiaDepartment of Internal Medicine, Faculty of Medicine Universitas Indonesia - Cipto Mangunkusumo Hospital, Jakarta, IndonesiaDepartment of Internal Medicine, Faculty of Medicine Universitas Indonesia - Cipto Mangunkusumo Hospital, Jakarta, IndonesiaDepartment of Internal Medicine, Faculty of Medicine Universitas Indonesia - Cipto Mangunkusumo Hospital, Jakarta, IndonesiaDepartment of Internal Medicine, Faculty of Medicine Universitas Indonesia - Cipto Mangunkusumo Hospital, Jakarta, IndonesiaA 27-year-old primiparous woman with 28 weeks gestational age was admitted to our hospital with worsening shortness of breath. She was diagnosed with Ebstein’s anomaly three years ago, but preferred to be left untreated. The patient was not cyanotic and her vital signs were stable. Her ECG showed incomplete RBBB and prolonged PR-interval. Blood tests revealed mild anemia. Observation of two-dimensional echo with color flow Doppler study showed Ebstein’s anomaly with PFO as additional defects, EF of 57%, LV and LA dilatation, RV atrialization, severe TR, and moderate PH with RVSP of 44.3 mmHg. The patient then underwent elective sectio caesaria at 30 weeks of gestational age; both the mother and her baby were alive and were in good conditions. Problem: there was an increasing breathlessness in this patient so that there was an increasing need to take a decision for her pregnancy. Ebstein’s anomaly is a complicated congenital anomaly. Medical treatment may be followed for many years in patients with mild forms of Ebstein’s anomaly. Surgery should be considered if there is objective evidence of debasement such as significant enlargement of heart size, reduction of systolic function in echocardiography.http://www.actamedindones.org/index.php/ijim/article/view/300ebstein anomalypregnancyechocardiography |
| spellingShingle | Lusiani Rusdi Syahrir Azizi Christopher Suwita Astrid Karina Sally A Nasution Ebstein Anomaly in Pregnancy Acta Medica Indonesiana ebstein anomaly pregnancy echocardiography |
| title | Ebstein Anomaly in Pregnancy |
| title_full | Ebstein Anomaly in Pregnancy |
| title_fullStr | Ebstein Anomaly in Pregnancy |
| title_full_unstemmed | Ebstein Anomaly in Pregnancy |
| title_short | Ebstein Anomaly in Pregnancy |
| title_sort | ebstein anomaly in pregnancy |
| topic | ebstein anomaly pregnancy echocardiography |
| url | http://www.actamedindones.org/index.php/ijim/article/view/300 |
| work_keys_str_mv | AT lusianirusdi ebsteinanomalyinpregnancy AT syahrirazizi ebsteinanomalyinpregnancy AT christophersuwita ebsteinanomalyinpregnancy AT astridkarina ebsteinanomalyinpregnancy AT sallyanasution ebsteinanomalyinpregnancy |