Uyan C, Yazici M, Uyan A P, Dokumaci B
Cardiology Department and.
Exp Clin Cardiol. 2001 Fall;6(3):173-5.
A 26-year-old man with Ebstein's anomaly had cerebellar infarction due to paradoxical embolism. Ebstein's anomaly is characterized by a downward displacement of the tricuspid valve into the right ventricle due to anomalous attachment of the tricuspid leaflets. Echocardiography is the method of choice to diagnose Ebstein's anomaly on its own or in association with other heart defects. Paradoxical embolism is a potential complication whenever a right to left shunt exists (for example, atrial septal defect). Ebstein's anomaly diagnosed in adult life is a benign and stable disease, particularly if the patient is asymptomatic; surgical correction must be performed if the patient becomes symptomatic because of either paradoxical embolism or worsening of the tricuspid regurgitation.
一名26岁患有埃布斯坦畸形的男性因反常栓塞导致小脑梗死。埃布斯坦畸形的特征是由于三尖瓣小叶的异常附着，三尖瓣向下移位至右心室。超声心动图是单独诊断埃布斯坦畸形或与其他心脏缺陷相关联时的首选方法。只要存在右向左分流（例如房间隔缺损），反常栓塞就是一种潜在的并发症。成年期诊断出的埃布斯坦畸形是一种良性且稳定的疾病，尤其是患者无症状时；如果患者因反常栓塞或三尖瓣反流恶化而出现症状，则必须进行手术矫正。
