Ebsteins anomaly of the tricuspid valve other imaging findings
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] and Claudia P. Hochberg, M.D. [2]
Associate Editor-In-Chief: Cafer Zorkun, M.D., Ph.D. [3]}; Priyamvada Singh, MBBS [4] Assistant Editor-In-Chief: Kristin Feeney, B.S. [5]
Overview
Cardiac catheterization and hemodynamics
a) RA pressure usually not increased due to the fact that the RA is enlarged and compliant.
b) Normal RV pressures unless significant TR is present.
c) PA pressures are normal or slightly decreased due to TR and a large right-to-left shunt.
d) An ASD may be present
ACC / AHA 2008 Guidelines- Recommendation for Catheter Interventions for Adults - Ebstein’s Anomaly of the Tricuspid Valve (DO NOT EDIT)[1]
| Class I |
| "1. Adults with Ebstein’s anomaly should have catheterization performed at centers with expertise in catheterization and management of such patients. (Level of Evidence: C) " |
- Cardiac catheterization is not routinely done these days to diagnose Ebstein's anomaly. This is so, because the echocardiogram along with doppler are able to identify lesions with great confidence.
Indications for catheterization are-
- If closure of a atrial septal defect is considered
- For preoperative coronary artery assessment.
References
- ↑ Warnes CA, Williams RG, Bashore TM, Child JS, Connolly HM, Dearani JA; et al. (2008). "ACC/AHA 2008 guidelines for the management of adults with congenital heart disease: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Writing Committee to Develop Guidelines on the Management of Adults With Congenital Heart Disease). Developed in Collaboration With the American Society of Echocardiography, Heart Rhythm Society, International Society for Adult Congenital Heart Disease, Society for Cardiovascular Angiography and Interventions, and Society of Thoracic Surgeons". J Am Coll Cardiol. 52 (23): e1–121. doi:10.1016/j.jacc.2008.10.001. PMID 19038677.