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2014, Número 3

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Acta Pediatr Mex 2014; 35 (3)


Paciente con anomalía de Ebstein y síndrome de Down. Una extraña combinación

de Rubens-Figueroa J, Marino B

Idioma: Español
Referencias bibliográficas: 23
Paginas: 218-221
Archivo PDF: 483.19 Kb.


RESUMEN

Entre 40 y 60% de los niños con síndrome de Down padece algún tipo de cardiopatía, las más frecuentes son comunicación interatrial, comunicación interventricular, conducto arterioso persistente o defectos de los cojinetes endocárdicos.
Se describe el caso de un niño con síndrome de Down, de 14 años de edad, con dolor precordial al que se le escuchó un soplo cardiaco. La clínica hizo sospechar comunicación interauricular. El ecocardiograma transtorácico mostró anomalía de Ebstein con comunicación interauricular. Debido a que la lesión de la válvula tricúspide era leve se consideró ofrecer manejo médico. El paciente cursó asintomático durante el seguimiento clínico.
Conclusiones: la asociación de síndrome de Down y anomalía de Ebstein es muy rara. Se revisaron los casos previos de la literatura.


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