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A multifaceted clinical portrait of Ebstein's anomaly: a case series
Panayotis K Vlachakis1, Eva Nyktari2, George Oikonomou1
1Adult Congenital Heart Centre and Centre for Pulmonary Hypertension, First Cardiology Department, Hippokration General Hospital, Athens Medical School, National and Kapodistrian University of Athens, 114 Vasilissis Sophias, Athens 11527, Greece.
Background:
It was in 1866 when Wilhelm Ebstein first described a rare case of a 19-year-old cyanotic patient with tricuspid valve regurgitation caused by a congenital malformation. Since then, Ebstein's anomaly (EA) has been recognized as a condition that exhibits a diverse clinical course with a formidable challenge for clinicians in terms of diagnosis, management, and prognosis.
Case Summary:
We present a case series of four patients with EA, shedding light on the varied clinical manifestations, treatment approaches, and outcomes that underscore the multifaceted nature of this condition.
Discussion:
The management of EA requires a comprehensive and individualized approach in specialized centres. The cardiologists responsible for the long-term care of these patients are faced with various challenging 'dilemmas' in the clinical course of the disease at different stages. The evolving landscape of cardiology offers a promising avenue for improving the outcomes and quality of life of patients with EA.
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