de Vette Liesbeth C, Brugts Jasper J, McGhie Jacky S, Roos-Hesselink Jolien W
Liesbeth C de Vette, Jasper J Brugts, Jacky S McGhie, Jolien W Roos-Hesselink, Department of Cardiology, Erasmus MC, 230 3015 CE Rotterdam, The Netherlands.
World J Cardiol. 2014 May 26;6(5):345-8. doi: 10.4330/wjc.v6.i5.345.
M Ebstein is usually diagnosed in early childhood or adolescence. The young woman in our case complainted of fatigue and shortness of breath, on physical examination she showed signs of heart failure with raised central venous pressure, palpable liver, an a cardiac murmer. Based on these findings she should have been referred to a cardiologist in an early stage after which transthoracic echocardiography resulted in the correct diagnosis. In this case the anomaly was missed for many years by different specialists and the patient was treated for liver disease, while she was suffering from liver congestion due to right-sided heart failure.
埃布斯坦畸形通常在儿童早期或青少年期被诊断出来。我们病例中的这位年轻女性主诉疲劳和呼吸急促，体格检查显示有心衰迹象，中心静脉压升高、肝脏可触及且有心脏杂音。基于这些发现，她本应在早期就被转诊给心脏病专家，之后经胸超声心动图检查得出了正确诊断。在这个病例中，不同的专科医生多年来都漏诊了这种异常情况，患者因右侧心力衰竭导致肝脏充血，却被当作肝病进行治疗。
