title: Fetal Ebstein's anomaly: early and late appearance.
abstract: OBJECTIVE
  To present sonographic findings in early and late appearance of fetal Ebstein's anomaly.
  
  
  METHODS
  Fetal sonography was performed in 53,447 consecutive pregnant women at 14 to 16 weeks' gestation.
  
  
  RESULTS
  Ebstein's anomaly was detected in eight fetuses, in four of them additional anomalies were observed. All eight pregnancies were terminated. In an additional fetus, a normal four-chamber view without valvular regurgitation was visualized at 15 weeks' gestation. At 24 weeks, a normal four-chamber view was depicted. No Doppler examination was performed at that time. The newborn was found to have Ebstein's anomaly with pulmonary stenosis. A balloon pulmonary valvuloplasty was performed with a good outcome at three months of age.
  
  
  CONCLUSIONS
  Fetal Ebstein's anomaly may be detected in early pregnancy. The incidence is higher than what is reported in newborns. Depiction of a normal fetal heart in early and midpregnancy does not exclude the possibility of subsequent development of Ebstein's anomaly.
authors.affiliation: Departments of Obstetrics and Gynecology, Rambam Medical Center, Bruce Rappaport Faculty of Medicine, Technion, Israel Institute of Technology, Haifa, Israel.
authors.forename: Etan Z
authors.initials: EZ
authors.lastname: Zimmer
authors.forename: Shraga
authors.initials: S
authors.lastname: Blazer
authors.forename: Avraham
authors.initials: A
authors.lastname: Lorber
authors.forename: Ido
authors.initials: I
authors.lastname: Solt
authors.forename: Sandro
authors.initials: S
authors.lastname: Egenburg
authors.forename: Moshe
authors.initials: M
authors.lastname: Bronshtein
mesh_terms: D000025:Abortion, Eugenic; D000328:Adult; D015331:Cohort Studies; D004437:Ebstein Anomaly / Q000000981:diagnostic imaging* / Q000453:epidemiology / Q000473:pathology / Q000628:therapy; D005260:Female; D005500:Follow-Up Studies; D005865:Gestational Age; D006801:Humans; D007231:Infant, Newborn; D011247:Pregnancy; D011262:Pregnancy Trimester, Second / Q000502:physiology; D013997:Time Factors; D016216:Ultrasonography, Prenatal / Q000706:statistics & numerical data