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Updated: Jun 24, 2026

Hemodynamic Precision in the Neonatal Intensive Care Unit using Targeted Neonatal Echocardiography
Published on: January 27, 2023
How I manage neonatal Ebstein's anomaly
Edward L Bove1, Jennifer C Hirsch, Richard G Ohye
1Section of Cardiac Surgery, Division of Pediatric Cardiac Surgery, University of Michigan School of Medicine, Ann Arbor, MI, USA. elbove@umich.edu
Insights
Ebstein's anomaly, a severe heart defect, presents challenges in newborns. This review discusses treatment decisions and outcomes for affected neonates at a single center.
Area of Science:
- Pediatric Cardiology
- Congenital Heart Disease
Background:
- Ebstein's anomaly is a spectrum of tricuspid valve malformation.
- Right ventricular involvement is common and impacts severity.
- Neonatal presentation signifies a high-risk group with uncertain management.
Purpose of the Study:
- To review the decision-making process for treating neonates with Ebstein's anomaly.
- To analyze the outcomes of neonatal Ebstein's anomaly management at a single center.
Main Methods:
- Retrospective review of neonatal Ebstein's anomaly cases.
- Analysis of clinical presentation, treatment strategies, and patient outcomes.
Main Results:
- Detailed outcomes for neonates with Ebstein's anomaly are presented.
- The review highlights the challenges in managing this condition in the first month of life.
Conclusions:
- Neonatal Ebstein's anomaly requires careful consideration for optimal treatment.
- Understanding outcomes is crucial for guiding management strategies in this vulnerable population.
Abstract:
Ebstein's anomaly of the tricuspid valve is characterized by a wide spectrum of severity. The condition involves more than a malformation of the tricuspid valve alone; a substantial portion of the right ventricle may be involved as well. Those patients presenting with symptoms in the first month of life represent a challenging group with a high mortality and uncertainty as to the best treatment options. In this review, the practical decision making process and the outcomes for neonates at one center are discussed.
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