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Ebstein Anomaly in Pregnancy

ACTA MEDICA INDONESIANA · Vol. 48 No. 4 (2017) · hlm. 325–326

ISSN
2338-2732, 0125-9326
Terbit
2017-02-01
Penerbit
The Indonesian Society of Internal Medicine
Bahasa
eng

Abstrak

A 27-year-old primiparous woman with 28 weeks gestational age was admitted to our hospital with worsening shortness of breath. She was diagnosed with Ebstein’s anomaly three years ago, but preferred to be left untreated. The patient was not cyanotic and her vital signs were stable. Her ECG showed incomplete RBBB and prolonged PR-interval. Blood tests revealed mild anemia. Observation of two-dimensional echo with color flow Doppler study showed Ebstein’s anomaly with PFO as additional defects, EF of 57%, LV and LA dilatation, RV atrialization, severe TR, and moderate PH with RVSP of 44.3 mmHg. The patient then underwent elective sectio caesaria at 30 weeks of gestational age; both the mother and her baby were alive and were in good conditions. Problem: there was an increasing breathlessness in this patient so that there was an increasing need to take a decision for her pregnancy.Ebstein’s anomaly is a complicated congenital anomaly. Medical treatment may be followed for many years in patients with mild forms of Ebstein’s anomaly. Surgery should be considered if there is objective evidence of debasement such as significant enlargement of heart size, reduction of systolic function in echocardiography.

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  • University of Indonesia
  • Institut Agama Islam Negeri Bone
  • International Islamic University, Islamabad
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Rekan penulisOrganisasiArtikel bersama
Kuntjoro HarimurtiAfiliasi tidak diketahui2
Arif MansjoerAfiliasi tidak diketahui2
Ika Prasetya WijayaAfiliasi tidak diketahui2
Dyah PurnamasariAfiliasi tidak diketahui1
Ahmad Fariz M.Z ZeinAfiliasi tidak diketahui1
Ika P WijayaAfiliasi tidak diketahui1
Birry KarimAfiliasi tidak diketahui1
Muhadi MuhadiAfiliasi tidak diketahui1
Rudi PutrantoAfiliasi tidak diketahui1
Cleopas M RumendeAfiliasi tidak diketahui1
Lugyanti SukrismanAfiliasi tidak diketahui1
Irma Wahyuni AnwarAfiliasi tidak diketahui1
Em YunirUniversity of Indonesia1
Hamzah ShatriAfiliasi tidak diketahui1
Ikhwan RinaldiAfiliasi tidak diketahui1
Dono AntonoAfiliasi tidak diketahui1
Pringgodigdo NugrohoAfiliasi tidak diketahui1
Wahyudi WahyudiAfiliasi tidak diketahui1
Muhammad YaminInstitut Agama Islam Negeri Bone1
Simon SalimAfiliasi tidak diketahui1
Muhammad Syahrir AziziAfiliasi tidak diketahui1
Aru Wisaksono SudoyoAfiliasi tidak diketahui1
Anneira Amanda PutriAfiliasi tidak diketahui1
Idrus AlwiAfiliasi tidak diketahui1
Hadiki HabibAfiliasi tidak diketahui1
Eka GinanjarAfiliasi tidak diketahui1
Sally Aman NasutionAfiliasi tidak diketahui1
Lies Dina LiastutiAfiliasi tidak diketahui1
Rizky RamadantieAfiliasi tidak diketahui1
Abdul RashidInternational Islamic University, Islamabad1

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Sumber metadata: OAI-PMH (metadata jurnal) http://www.actamedindones.org/index.php/ijim/oai, pertama di-harvest 8 Nov 2026, terakhir terlihat 8 Nov 2026.
Metadata asli (oai_dc)
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	<dc:title xml:lang="en-US">Ebstein Anomaly in Pregnancy</dc:title>
	<dc:creator>Rusdi, Lusiani</dc:creator>
	<dc:creator>Azizi, Syahrir</dc:creator>
	<dc:creator>Suwita, Christopher</dc:creator>
	<dc:creator>Karina, Astrid</dc:creator>
	<dc:creator>Nasution, Sally A</dc:creator>
	<dc:subject xml:lang="en-US">ebstein anomaly</dc:subject>
	<dc:subject xml:lang="en-US">pregnancy</dc:subject>
	<dc:subject xml:lang="en-US">echocardiography</dc:subject>
	<dc:description xml:lang="en-US">A 27-year-old primiparous woman with 28 weeks gestational age was admitted to our hospital with worsening shortness of breath. She was diagnosed with Ebstein’s anomaly three years ago, but preferred to be left untreated. The patient was not cyanotic and her vital signs were stable. Her ECG showed incomplete RBBB and prolonged PR-interval. Blood tests revealed mild anemia. Observation of two-dimensional echo with color flow Doppler study showed Ebstein’s anomaly with PFO as additional defects, EF of 57%, LV and LA dilatation, RV atrialization, severe TR, and moderate PH with RVSP of 44.3 mmHg. The patient then underwent elective sectio caesaria at 30 weeks of gestational age; both the mother and her baby were alive and were in good conditions. Problem: there was an increasing breathlessness in this patient so that there was an increasing need to take a decision for her pregnancy.Ebstein’s anomaly is a complicated congenital anomaly. Medical treatment may be followed for many years in patients with mild forms of Ebstein’s anomaly. Surgery should be considered if there is objective evidence of debasement such as significant enlargement of heart size, reduction of systolic function in echocardiography.</dc:description>
	<dc:publisher xml:lang="en-US">The Indonesian Society of Internal Medicine</dc:publisher>
	<dc:date>2017-02-01</dc:date>
	<dc:type>info:eu-repo/semantics/article</dc:type>
	<dc:type>info:eu-repo/semantics/publishedVersion</dc:type>
	<dc:format>application/pdf</dc:format>
	<dc:identifier>http://www.actamedindones.org/index.php/ijim/article/view/300</dc:identifier>
	<dc:source xml:lang="en-US">Acta Medica Indonesiana; Vol. 48 No. 4 (2016): Acta Medica Indonesiana; 325-326</dc:source>
	<dc:source>2338-2732</dc:source>
	<dc:source>0125-9326</dc:source>
	<dc:language>eng</dc:language>
	<dc:relation>http://www.actamedindones.org/index.php/ijim/article/view/300/184</dc:relation>
	<dc:rights xml:lang="en-US">Copyright (c) 2017 Acta Medica Indonesiana</dc:rights>
</oai_dc:dc>