Key result
Right atrioventricular ostium surgery improves NYHA class and reduces TR in an Ebstein's anomaly case.
Why the study?
Does surgery of the right atrioventricular ostium improve symptoms and reduce tricuspid regurgitation in an adult patient with Ebstein's anomaly?
Case Report (n=1)
No
Does surgery of the right atrioventricular ostium improve symptoms and reduce tricuspid regurgitation in an adult patient with Ebstein's anomaly?
Surgical intervention of the right atrioventricular ostium in an adult with Ebstein's anomaly successfully improved exercise tolerance and reduced tricuspid regurgitation.
May benefit select symptomatic adults with Ebstein's; leaves open need for prospective studies before broader adoption.
A 21-year-old woman with Ebstein’s anomaly was admitted with syncope on exertion, fatigue and dyspnea (NYHA III). Physical examination revealed systolic apical murmur. Echocardiography showed normal LVEF, apical displacement of the septal tricuspid leaflet, severe tricuspid regurgitation, right ventricle dilatation and dysfunction. After detailed evaluation, surgery of the right atrioventricular ostium was proposed. Five months after surgery the patient reported an improvement in exercise tolerance (NYHA II). Echocardiography showed mild residual tricuspid regurgitation.
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Gackowski et al. (2016) conducted a case report in Ebstein's anomaly (n=1). Surgery of the right atrioventricular ostium was evaluated on Exercise tolerance and echocardiographic findings. Surgery of the right atrioventricular ostium in a 21-year-old woman with Ebstein's anomaly improved exercise tolerance from NYHA III to II and reduced tricuspid regurgitation at 5 months.
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