2014, Number 3
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Acta Pediatr Mex 2014; 35 (3)
Patient with Ebstein anomaly and Down syndrome. Strange combination
de Rubens-Figueroa J, Marino B
Language: Spanish
References: 23
Page: 218-221
PDF size: 483.19 Kb.
ABSTRACT
The most common congenital heart diseases in children with Down
syndrome are atrial or ventricular septal defects, patent ductus arteriosus
or endocardial cushion defects.
We describe the unusual association of Down syndrome and Ebstein
anomaly in a 14 years old boy.
A heart murmur was diagnosed; the patient complained precordial
pain. With the clinic characteristics, we diagnosed atrial septal defect.
The transthoracic echocardiogram showed Ebstein anomaly with atrial
septal defect. We decided medical treatment because the tricuspid valve
damage isn't important. During follow-up the patient was asymptomatic.
Conclusions: The association of Down syndrome and Ebstein´s anomaly
is very rare. Previous cases in the literature were reviewed.
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