Ebsteins anomaly of the tricuspid valve other imaging findings
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Ebsteins anomaly of the tricuspid valve Microchapters | |
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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.; Priyamvada Singh, MBBS [3] Assistant Editor-In-Chief: Kristin Feeney, B.S. [4]
Overview
Indications
Given that echocardiography along with Doppler pulse imaging is quite capable of identifying patients with Ebstein's anomaly, cardiac catheterization is not routinely performed to diagnose Ebstein's anomaly.
Indications for cardiac catheterization include the following:
- If closure of an atrial septal defect is considered
- For preoperative assessment of coexisting coronary heart disease
Hemodynamic Findings
- The right atrial pressure usually not increased due to the fact that the right atrium is enlarged and compliant.
- Normal right ventricular (RV) pressures are present unless significant TR is present
- Pulmonary arterial pressures are normal or slightly decreased due to the tricuspid regurgitation and if then atrial septal defect is present, a large right-to-left shunt.
- An atrial septal defect (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) " |
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.