Clinical Study of Ebstein's Anomaly

ABSTRACT

Clinical features, laboratory and operative findings were reviewed in 10 cases of Ebstein's anomaly admitted to Dong San Hospital, Keimyung University during a 7(1/2)-year period from January 1982 to June 1989. The following results obtained 1) Exertional dyspnea(90%) and palpitation(30%) were the predominant symptoms, and cyanosis was documented in 2 cases among 10 patients. 2) Chest X-ray showed cardiomegaly in all cases, but cardio-thoracic ratio was above 0.6 in 4 cases. 3) Electrocardiograms showed RBBB in 4 cases, RVH in 2 cases, 1st degree AV block in 4 cases. 4) Echocardiograms and angiograms showed displacement of tricuspid valve in all cases. 5) Interatrial communication via atrial septal defect (5) and patent foramen ovale (5) was present in 10 cases(100%). 6) Operative findings of 5 cases showed abnormalities of septal leaflet in 5(100%), posterior leaflet in 5(100%), and anterior leaflet in 1 case (20%).