Trivedi Jaideep Kumar, Mahapatra Rudra Pratap, Gandham Ravi Kumar, Ramakrishna Gonuguntla Venkata, Satapathy Sunil Kumar, Mohanty Sujit Kumar, Suresh Allamsetty
Department of CT Surgery, Apollo Hospitals, Health City, Arilova, Vishakhapatnam, Andhra Pradesh PIN-530040 India.
Indian J Thorac Cardiovasc Surg. 2020 Jan;36(1):56-59. doi: 10.1007/s12055-019-00840-z. Epub 2019 Aug 2.
Ebstein's anomaly is a relatively rare congenital heart disorder characterised by downward displacement of septal and posterior leaflets of the tricuspid valve into the right ventricle cavity. The usual presenting symptoms are cyanosis, right-sided heart failure and arrhythmia. Progressive heart failure or tachyarrhythmia may worsen cyanosis. The acute coronary syndrome is rarely reported in Ebstein's anomaly. We report a patient of undiagnosed Ebstein's anomaly who was apparently asymptomatic but presented with the acute coronary syndrome. This case report deals with a rare combination of congenital heart disease (Ebstein's anomaly) and coronary artery disease. Ebstein's anomaly (EA) has a prevalence of 1% of all congenital heart diseases, and little evidence is reported in the literature where EA along with coronary artery disease (CAD) exists in individuals less than 45 years old. Therefore, this case report brings attention to the rarity of those pathologies, which individually are already considered rare. And in this case, the association turns this diagnosis exceptional and highlights the complexity of the treatment.
埃布斯坦畸形是一种相对罕见的先天性心脏病，其特征是三尖瓣的隔叶和后叶向下移位至右心室腔。常见的症状有发绀、右心衰竭和心律失常。进行性心力衰竭或快速性心律失常可能会加重发绀。埃布斯坦畸形中很少报道急性冠状动脉综合征。我们报告了一名未被诊断出患有埃布斯坦畸形的患者，该患者明显无症状，但出现了急性冠状动脉综合征。本病例报告涉及先天性心脏病（埃布斯坦畸形）和冠状动脉疾病的罕见组合。埃布斯坦畸形（EA）在所有先天性心脏病中的患病率为1%，文献中报道在45岁以下个体中同时存在EA和冠状动脉疾病（CAD）的证据很少。因此，本病例报告引起了人们对这些单独就已被视为罕见病症的罕见性的关注。在本病例中，这种关联使该诊断变得异常，并凸显了治疗的复杂性。
