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Revista Cubana de Medicina Militar

Print version ISSN 0138-6557On-line version ISSN 1561-3046


MARTINEZ GARCIA, Geovedy et al. Ebstein anomaly in adulthood. Rev Cub Med Mil [online]. 2009, vol.38, n.3-4. ISSN 0138-6557.

Ebstein anomaly is a non-frequent congenital malformation characterized by enclosing of tricuspid valve elements in right ventricle cavity. This enclosing produces a move of physiologic orifice of tricuspid valve within the right ventricle valve. Generally, it is associated with alterations typical of this valve, as insufficiency or tricuspid stenosis, as well as the development of heart insufficiency and the presence of arrhythmias and pre-excitation syndrome. Although it is a diagnosis characteristic of neonate or the children, has described patients diagnosed in adulthood. In past years, its presentation varies, and may be asymptomatic of start with arrhythmias. This is a female case presentation aged 70 admitted with a diagnosis of atrial flutter, thus the electric cardioversion to return to sinusal rhythm. In echocardiogram it is diagnosed an Ebstein anomaly. Clinical features, complementary examinations and treatment of this entity, as well as the anatomy and embryology of tricuspid valvular apparatus. Echocardiogram is the choice complementary examination in this entity.

Keywords : Ebstein anomaly; congenital cardiopathy; pre-excitation; dilated myocardiopathy.

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