Case Report
Version 2
Preserved in Portico This version is not peer-reviewed
Late presentation of Ebstein Anomaly: An Unique Case at 67yrs
Version 1
: Received: 5 December 2023 / Approved: 6 December 2023 / Online: 6 December 2023 (10:26:25 CET)
Version 2 : Received: 6 December 2023 / Approved: 7 December 2023 / Online: 7 December 2023 (07:05:48 CET)
Version 2 : Received: 6 December 2023 / Approved: 7 December 2023 / Online: 7 December 2023 (07:05:48 CET)
A peer-reviewed article of this Preprint also exists.
Ishita, R., Nilanjan, R. (2023). Late Presentation of Ebstein Anomaly: An Unique Case at 67yrs. Int Internal Med J, 1(6), 289-290. Ishita, R., Nilanjan, R. (2023). Late Presentation of Ebstein Anomaly: An Unique Case at 67yrs. Int Internal Med J, 1(6), 289-290.
Abstract
Ebstein anomaly, a congenital heart condition, can manifest across a broad age spectrum, including adulthood. We present a unique case of a 67-year-old woman with no significant medical history who sought medical attention for severe headaches, vomiting, and respiratory distress, accompanied by elevated blood pressure and rapid pulse. Initial investigations, including troponin T levels, yielded unremarkable results. However, an electrocardiogram unveiled a right bundle branch block (RBBB) pattern, prompting further assessment. A subsequent chest X-ray disclosed an enlarged heart, indicating cardiomegaly, prompting echocardiography. The echocardiogram confirmed the diagnosis of Ebstein anomaly, revealing a 26 mm apical displacement of the tricuspid valve (TV). The patient was managed conservatively with supplemental oxygen and exhibited gradual improvement. This case underscores the infrequent occurrence of Ebstein anomaly in adulthood and underscores the necessity for thorough evaluation in cases of unexplained cardiopulmonary symptoms.
Keywords
RBBB; Ebstein anomaly; TGA; tricuspid valve
Subject
Medicine and Pharmacology, Clinical Medicine
Copyright: This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
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Commenter: Nilanjan Roy
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