Theran LJS, Esteban BLY, Fernando GC, Rolanlly RJ

Language: Spanish
References: 9
Page: 1-6
PDF size: 262.81 Kb.

ABSTRACT

Introduction: Ebstein's anomaly is a rare malformation with mild to severe respiratory symptomatic presentation due to congenital heart defects manifested during childhood.
Objective: To present the case in which the timely diagnosis of this disease allowed the comprehensive treatment of the patient.
Case presentation: Full-term newborn, who at seven hours of birth presented decreased oxygen saturation, physical examination without cyanosis, pansystolic murmur in auscultation and cardiomegaly detected by chest X-rays. An echocardiogram was performed to diagnose the baby as a carrier of Ebstein's disease with mild manifestations. Once he had clinical improvement, he was discharged with an indication for assessment by pediatric cardiology.
Conclusions: Ebstein's anomaly may begin in the neonatal period with symptoms of variable severity. Clinical suspicion allows for diagnostic confirmation and close follow-up, especially in severe cases.

REFERENCES

1. Holst KA, Connolly HM, Dearani JA. Ebstein’s Anomaly. Methodist DeBakey Cardiovasc J. 2019 [acceso 25/08/2021];15(2):138. Disponible en: Disponible en: https://www/pmc/articles/PMC6668741/ 1.

2. Yuan SM. Ebstein’s Anomaly: Genetics, Clinical Manifestations, and Management. Pediatr Neonatol. 2017 [acceso 25/8/2021];58(3):211-5. Disponible en: Disponible en: http://www.pediatr-neonatol.com/article/S1875957216302959/fulltext 2.

3. Sainathan S, Silva L da F da, Silva JP da. Ebstein’s anomaly: contemporary management strategies. J Thorac Dis. 2020 [acceso 25/08/2021];12(3):1161. Disponible en: Disponible en: https://www/pmc/articles/PMC7139083/ 3.

4. Sharma N, Lalnunnem TJ, Nandwani M, Santa SA, Synrang BW. Ebstein Anomaly with Pregnancy: A Rare Case. J Reproduct Infert. 2018 [acceso 25/08/2021];19(2):119. Disponible en: Disponible en: https://www/pmc/articles/PMC6010821/ 4.

5. Miranda-Fernández MC, Ramírez-Oyaga S, Restrepo CM, Huertas-Quiñones VM, Barrera-Castañeda M, Quero R, et al. Identification of a New Candidate Locus for Ebstein Anomaly in 1p36.2. Mol Syndromol. 2018 [acceso 25/08/2021];9(3):164. Disponible en: Disponible en: https://www/pmc/articles/PMC6006643/ 5.

6. Walsh EP. Ebstein's Anomaly of the Tricuspid Valve: A Natural Laboratory for Re-Entrant Tachycardias. JACC Clin Electrophysiol. 2018;4(10):1271-88. DOI: 10.1016/j.jacep.2018.05.024

7. Ciepłucha A, Trojnarska O, Kociemba A, Łanocha M, Barczynski M, Rozmiarek S, et al. Clinical aspects of myocardial fibrosis in adults with Ebstein’s anomaly. Heart Vess. 2018 [acceso 25/08/2021];33(9):1076. Disponible en: Disponible en: https://www/pmc/articles/PMC6096744/ 7.

8. Singh DP, Mahajan K. Ebstein Anomaly and Malformation. Washington, EE. UU: epesentaión Stat Pearls publishing. 2021 [acceso 25/08/2021]. Disponible en: Disponible en: https://www.ncbi.nlm.nih.gov/books/NBK534824/ 8.

9. Holst KA, Dearani JA, Said SM. Surgical Management and Outcomes of Ebstein Anomaly in Neonates and Infants: A Society of Thoracic Surgeons Congenital Heart Surgery Database Analysis. Ann Thoracic Surg. 2018 [acceso 25/08/2021];106(3):785-91. Disponible en: Disponible en: https://pubmed.ncbi.nlm.nih.gov/29777671/9.