Ebsteins anomaly of the tricuspid valve other imaging findings: Difference between revisions
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{{Template:Ebstein's anomaly of the tricuspid valve}} | {{Template:Ebstein's anomaly of the tricuspid valve}} | ||
{{CMG}} | {{CMG}}; '''Associate Editor-In-Chief:''' {{CZ}}}; Claudia P. Hochberg, M.D.; [[Priyamvada Singh|Priyamvada Singh, MBBS]] [mailto:psingh13579@gmail.com] '''Assistant Editor-In-Chief:''' [[Kristin Feeney|Kristin Feeney, B.S.]] [mailto:kfeeney@elon.edu] | ||
==Overview== | |||
[[cardiac catheterization]] shows normal [[right atrial]] pressure most of the times, normal [[right ventricular]] ([[RV]]) pressures are present unless significant [[tricuspid regurgitation]] ([[TR]]) is present. | |||
==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.<ref name="pmid26926292">{{cite journal |vauthors=Moustafa GA, Kolokythas A, Charitakis K, Avgerinos DV |title=Diagnostic Cardiac Catheterization in the Pediatric Population |journal=Curr Cardiol Rev |volume=12 |issue=2 |pages=155–62 |date=2016 |pmid=26926292 |pmc=4861944 |doi=10.2174/1573403x12666160301120955 |url=}}</ref><ref name="pmid22723533">{{cite journal |vauthors=Kilner PJ |title=Imaging congenital heart disease in adults |journal=Br J Radiol |volume=84 Spec No 3 |issue= |pages=S258–68 |date=December 2011 |pmid=22723533 |pmc=3473918 |doi=10.1259/bjr/74240815 |url=}}</ref> | |||
[[Indication (medicine)|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== | ==Hemodynamic Findings== | ||
*The right atrial pressure usually not increased due to the fact that the right atrium is enlarged and compliant. | *The [[right atrial]] pressure usually not increased due to the fact that the [[right atrium]] is enlarged and compliant.<ref name="pmid26926292" /><ref name="pmid22723533" /> | ||
*Normal right ventricular (RV) pressures are present unless significant [[TR]] is present | *Normal [[right ventricular]] ([[RV]]) pressures are present unless significant [[tricuspid regurgitation]] ([[TR]]) is present | ||
*Pulmonary arterial pressures are normal or slightly decreased due to the [[tricuspid regurgitation]] and if | *[[Pulmonary artery|Pulmonary arterial]] pressures are normal or slightly decreased due to the [[tricuspid regurgitation]] and if an [[atrial septal defect]] is present, a large [[right-to-left shunt]] | ||
*An | *An [[atrial septal defect]] ([[ASD]]) may be present | ||
==ACC/AHA 2008 Guidelines for the Management of Adults With Congenital Heart Disease (DO NOT EDIT)<ref name="pmid18997168">{{cite journal| author=Warnes CA, Williams RG, Bashore TM, Child JS, Connolly HM, Dearani JA et al.| title=ACC/AHA 2008 Guidelines for the Management of Adults with Congenital Heart Disease: Executive Summary: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (writing committee to develop guidelines for the management of adults with congenital heart disease). | journal=Circulation | year= 2008 | volume= 118 | issue= 23 | pages= 2395-451 | pmid=18997168 | doi=10.1161/CIRCULATIONAHA.108.190811 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=18997168 }} </ref><ref name="pmid19038677">{{cite journal| author=Warnes CA, Williams RG, Bashore TM, Child JS, Connolly HM, Dearani JA et al.| title=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. | journal=J Am Coll Cardiol | year= 2008 | volume= 52 | issue= 23 | pages= e1-121 | pmid=19038677 | doi=10.1016/j.jacc.2008.10.001 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=19038677 }} </ref>== | |||
===ACC / AHA 2008 Guidelines | ===Catheter Interventions for Adults With Ebstein’s Anomaly (DO NOT EDIT)<ref name="pmid18997168">{{cite journal| author=Warnes CA, Williams RG, Bashore TM, Child JS, Connolly HM, Dearani JA et al.| title=ACC/AHA 2008 Guidelines for the Management of Adults with Congenital Heart Disease: Executive Summary: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (writing committee to develop guidelines for the management of adults with congenital heart disease). | journal=Circulation | year= 2008 | volume= 118 | issue= 23 | pages= 2395-451 | pmid=18997168 | doi=10.1161/CIRCULATIONAHA.108.190811 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=18997168 }} </ref><ref name="pmid19038677">{{cite journal| author=Warnes CA, Williams RG, Bashore TM, Child JS, Connolly HM, Dearani JA et al.| title=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. | journal=J Am Coll Cardiol | year= 2008 | volume= 52 | issue= 23 | pages= e1-121 | pmid=19038677 | doi=10.1016/j.jacc.2008.10.001 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=19038677 }} </ref> === | ||
{| class="wikitable" | {| class="wikitable" | ||
| Line 20: | Line 27: | ||
| colspan="1" style="text-align:center; background:LightGreen"|[[ACC AHA guidelines classification scheme#Classification of Recommendations|Class I]] | | colspan="1" style="text-align:center; background:LightGreen"|[[ACC AHA guidelines classification scheme#Classification of Recommendations|Class I]] | ||
|- | |- | ||
| bgcolor="LightGreen"|<nowiki>"</nowiki>'''1.''' Adults with Ebstein’s anomaly should have catheterization performed at centers with expertise in catheterization and management of such patients. ''([[ACC AHA guidelines classification scheme#Level of Evidence|Level of Evidence: C]])'' <nowiki>"</nowiki> | | bgcolor="LightGreen"|<nowiki>"</nowiki>'''1.''' Adults with Ebstein’s anomaly should have catheterization performed at centers with expertise in catheterization and management of such patients. ''([[ACC AHA guidelines classification scheme#Level of Evidence|Level of Evidence: C]])''<nowiki>"</nowiki> | ||
|} | |} | ||
==References== | ==References== | ||
{{Reflist}} | {{Reflist|2}} | ||
{{WH}} | {{WH}} | ||
{{WS}} | {{WS}} | ||
[[Category: | [[Category:Cardiovascular system]] | ||
[[Category:Cardiology]] | [[Category:Cardiology]] | ||
[[Category:Congenital heart disease]] | |||
[[Category:Pediatrics]] | [[Category:Pediatrics]] | ||
[[Category:Medicine]] | |||
[[Category:Radiology]] | |||
Latest revision as of 18:56, 18 February 2020
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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
cardiac catheterization shows normal right atrial pressure most of the times, normal right ventricular (RV) pressures are present unless significant tricuspid regurgitation (TR) is present.
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.[1][2]
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.[1][2]
- Normal right ventricular (RV) pressures are present unless significant tricuspid regurgitation (TR) is present
- Pulmonary arterial pressures are normal or slightly decreased due to the tricuspid regurgitation and if an atrial septal defect is present, a large right-to-left shunt
- An atrial septal defect (ASD) may be present
ACC/AHA 2008 Guidelines for the Management of Adults With Congenital Heart Disease (DO NOT EDIT)[3][4]
Catheter Interventions for Adults With Ebstein’s Anomaly (DO NOT EDIT)[3][4]
| 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
- ↑ 1.0 1.1 Moustafa GA, Kolokythas A, Charitakis K, Avgerinos DV (2016). "Diagnostic Cardiac Catheterization in the Pediatric Population". Curr Cardiol Rev. 12 (2): 155–62. doi:10.2174/1573403x12666160301120955. PMC 4861944. PMID 26926292.
- ↑ 2.0 2.1 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.
- ↑ 3.0 3.1 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: Executive Summary: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (writing committee to develop guidelines for the management of adults with congenital heart disease)". Circulation. 118 (23): 2395–451. doi:10.1161/CIRCULATIONAHA.108.190811. PMID 18997168.
- ↑ 4.0 4.1 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.