Ebsteins anomaly of the tricuspid valve differential diagnosis

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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. Maneesha Nandimandalam, M.B.B.S.[3]

Overview

Disorders that Ebstein's anomaly must be distinguished from include:

Differentiating Ebsteins anomaly of the tricuspid valve from other diseases

Ebstein's anomaly should be differentiated from other cynotic diseases and others[1][2][3]

Disorders Etiology Clinical Presentation Laboratory Findings Electrocardiogram Echocardiography
Tetralogy of Fallot Multifactorial Echocardiography may show:
  • Residual VSD or ASD
  • RV outflow tract obstruction
  • Abnormal valvular anatomy
Total Anomalous Pulmonary Venous Connection Multifactorial
Tricuspid Atresia Multifactorial
  • Respiratory difficulties as nasal flaring or muscle retractions
  • Cyanosis
  • Growth retradation
  • Tall P waves indicate atrial enlargement.
  • Frontal plane QRS axis may be leftward.
Echocardiography may show
Transposition of the Great Arteries Multifactorial Echocardiography may show:

References

  1. Zuberi SA, Liu S, Tam JW, Hussain F, Maguire D, Kass M (2015). "Partial PFO Closure for Persistent Hypoxemia in a Patient with Ebstein Anomaly". Case Rep Cardiol. 2015: 531382. doi:10.1155/2015/531382. PMC 4405015. PMID 25945265.
  2. Kilner PJ (December 2011). "Imaging congenital heart disease in adults". Br J Radiol. 84 Spec No 3: S258–68. doi:10.1259/bjr/74240815. PMC 3473918. PMID 22723533.
  3. Romfh A, Pluchinotta FR, Porayette P, Valente AM, Sanders SP (June 2012). "Congenital Heart Defects in Adults : A Field Guide for Cardiologists". J Clin Exp Cardiolog (Suppl 8). doi:10.4172/2155-9880.s8-007. PMC 3842121. PMID 24294540.

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