Case 5/2019 - Naturally Evolving Ebstein’s Anomaly of DiscreteRepercussion in 24-Year-old Asymptomatic Adult

摘要

Patient reports 3 episodes of paroxysmal tachycardia of up to 20 minutes, accompaniedby precordial pain in the past 7 years, all with spontaneous reversal. Four yearsprior, the patient presented another tachycardia with signs of low output, includingpallor, visual turbidity, cold extremities and mental confusion, requiringelectrical reversion. On that occasion, ventricular tachycardia ablation in theright ventricular (RV) inflow tract through the right posterior accessory pathwaywas successfully performed. Ebstein’s anomaly diagnosis was given for the first timeby echocardiography scan, at that time. Ever since, the patient remainedasymptomatic, living a normal life and with no medication.