Ebsteins anomaly of the tricuspid valve differential diagnosis: Difference between revisions
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{{Template:ebstein's anomaly of the tricuspid valve}} | {{Template:ebstein's anomaly of the tricuspid valve}} | ||
{{CMG}} '''Associate Editor-In-Chief:''' {{CZ}}; Claudia P. Hochberg, M.D. | {{CMG}} '''Associate Editor-In-Chief:''' {{CZ}}; Claudia P. Hochberg, M.D.{{M.N}} | ||
==Overview== | ==Overview== | ||
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==Differentiating Ebsteins anomaly of the tricuspid valve from other diseases== | ==Differentiating Ebsteins anomaly of the tricuspid valve from other diseases== | ||
Ebstein's anomaly should be differentiated from other cynotic diseases and others<ref name="pmid25945265">{{cite journal |vauthors=Zuberi SA, Liu S, Tam JW, Hussain F, Maguire D, Kass M |title=Partial PFO Closure for Persistent Hypoxemia in a Patient with Ebstein Anomaly |journal=Case Rep Cardiol |volume=2015 |issue= |pages=531382 |date=2015 |pmid=25945265 |pmc=4405015 |doi=10.1155/2015/531382 |url=}}</ref><ref name="pmid22723533">{{cite journal |vauthors=Kilner PJ |title=Imaging congenital heart disease in adults |journal=Br J Radiol |volume=84 Spec No 3 |issue= |pages=S258–68 |date=December 2011 |pmid=22723533 |pmc=3473918 |doi=10.1259/bjr/74240815 |url=}}</ref><ref name="pmid24294540">{{cite journal |vauthors=Romfh A, Pluchinotta FR, Porayette P, Valente AM, Sanders SP |title=Congenital Heart Defects in Adults : A Field Guide for Cardiologists |journal=J Clin Exp Cardiolog |volume= |issue=Suppl 8 |pages= |date=June 2012 |pmid=24294540 |pmc=3842121 |doi=10.4172/2155-9880.s8-007 |url=}}</ref> | |||
{| class="wikitable" | {| class="wikitable" | ||
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*[[Ventricular function]] | *[[Ventricular function]] | ||
* Valve abnormalities | * Valve abnormalities | ||
|- | |||
|[[Transposition of the great vessels|Transposition of the Great Arteries]] | |||
|Multifactorial | |||
*[[Polymorphism (biology)|Genetic polymorphisms]] | |||
* Poor prenatal nutrition | |||
* Maternal [[alcohol]] use | |||
* Maternal [[diabetes]] | |||
| | |||
* Prominent [[cyanosis]] within hours of birth | |||
*[[Congestive heart failure]] | |||
* | |||
| | |||
*[[Arterial blood gas|Arterial blood gases]]: [[Hypoxemia]] | |||
* Hyperoxia test | |||
| | |||
* [[Right ventricular hypertrophy]] | |||
* [[Right axis deviation]] | |||
* Varying degrees of [[Atrioventricular block|AV block]] | |||
* [[Q waves]] | |||
|[[Echocardiography]] may show: | |||
* Relationship between [[great vessels]] | |||
* Associated anatomic lesions | |||
* [[Coronary artery]] origin and branches | |||
|} | |} | ||
Latest revision as of 22:38, 7 July 2020
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Ebsteins anomaly of the tricuspid valve Microchapters | |
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Diagnosis | |
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Treatment | |
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor-In-Chief: Cafer Zorkun, M.D., Ph.D. [2]; Claudia P. Hochberg, M.D. Maneesha Nandimandalam, M.B.B.S.[3]
Overview
Disorders that Ebstein's anomaly must be distinguished from include:
- Accessory pathway-mediated WPW syndrome and SVT
- Atrial septal defect (ASD)
- Cyanotic congenital heart diseases
- Isolated, severe tricuspid regurgitation
- L-transposition of the great vessels
- Severe right heart failure with dilation of the anulus
Differentiating Ebsteins anomaly of the tricuspid valve from other diseases
Ebstein's anomaly should be differentiated from other cynotic diseases and others[1][2][3]
| Disorders | Etiology | Clinical Presentation | Laboratory Findings | Electrocardiogram | Echocardiography |
|---|---|---|---|---|---|
| Tetralogy of Fallot | Multifactorial
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Echocardiography may show: |
| Total Anomalous Pulmonary Venous Connection | Multifactorial
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| Tricuspid Atresia | Multifactorial
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Echocardiography may show
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| Transposition of the Great Arteries | Multifactorial
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Echocardiography may show:
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References
- ↑ Zuberi SA, Liu S, Tam JW, Hussain F, Maguire D, Kass M (2015). "Partial PFO Closure for Persistent Hypoxemia in a Patient with Ebstein Anomaly". Case Rep Cardiol. 2015: 531382. doi:10.1155/2015/531382. PMC 4405015. PMID 25945265.
- ↑ Kilner PJ (December 2011). "Imaging congenital heart disease in adults". Br J Radiol. 84 Spec No 3: S258–68. doi:10.1259/bjr/74240815. PMC 3473918. PMID 22723533.
- ↑ Romfh A, Pluchinotta FR, Porayette P, Valente AM, Sanders SP (June 2012). "Congenital Heart Defects in Adults : A Field Guide for Cardiologists". J Clin Exp Cardiolog (Suppl 8). doi:10.4172/2155-9880.s8-007. PMC 3842121. PMID 24294540.