title: An unusual first presentation of Ebstein's anomaly in a 72-year-old patient.
abstract: We report the unusual case of a 72-year-old woman with a primary presentation of right heart failure in the setting of recently diagnosed Ebstein's anomaly with concomitant atrial fibrillation (AF). The patient had New York Heart Association (NYHA) class III dyspnea for 12 months, with refractory right heart failure prior to undergoing surgical management in the form of a tricuspid annuloplasty ring and plication of the atrialized ventricle. The patient had an uneventful postoperative recovery and enjoyed an improvement in her exercise tolerance (NYHA class I) with minimal echocardiographic evidence of tricuspid regurgitation (TR) at the latest follow-up.
authors.affiliation: Department of Cardiac Surgery, Princess Alexandra Hospital, Woolloongabba, Queensland, Australia. trent_lincoln@hotmail.com
authors.forename: Trent
authors.initials: T
authors.lastname: Lincoln
authors.forename: Christopher
authors.initials: C
authors.lastname: Stewart
authors.forename: Pallav
authors.initials: P
authors.lastname: Shah
mesh_terms: D000368:Aged; D001281:Atrial Fibrillation / Q000209:etiology; D004417:Dyspnea / Q000209:etiology; D004437:Ebstein Anomaly / Q000150:complications / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000601:surgery; D017079:Exercise Tolerance; D005260:Female; D006333:Heart Failure / Q000209:etiology*; D006352:Heart Ventricles / Q000601:surgery; D006801:Humans; D014261:Tricuspid Valve / Q000601:surgery*; D014262:Tricuspid Valve Insufficiency / Q000000981:diagnostic imaging / Q000209:etiology; D014463:Ultrasonography