n Cardiovascular Journal of Africa - Ebstein's anomaly and Down's syndrome : case report
|Article Title||Ebstein's anomaly and Down's syndrome : case report|
|© Publisher:||Clinics Cardive Publishing|
|Journal||Cardiovascular Journal of Africa|
|Affiliations||1 Dora Nginza Hospital, 2 Emma Children's Hospital Academic Medical Centre, The Netherlands and 3 Centre for Congenital Heart Anomalies Amsterdam-Leiden (CAHAL), The Netherlands|
|Publication Date||Oct 2013|
|Pages||382 - 384|
|Keyword(s)||Down's syndrome, Ebstein's anomaly, Prenatal and postnatal diagnosis and Right heart failure|
We report on two cases presenting with a rare combination of Ebstein's anomaly and Down's syndrome. The first patient presented with respiratory distress, mild cyanosis and right heart failure immediately after delivery. The symptoms improved with heart failure medication. The patient remained asymptomatic on follow up. The second patient was diagnosed antenatally with marked apical displacement of the tricuspid valve and a very small functional right ventricle compared to the left ventricle. At birth, the patient presented with an extreme form of Ebstein's anomaly with severe cyanosis, marked right heart failure and ductal-dependent pulmonary blood flow. The patient died within days of birth.
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