Article Text

other Versions

PDF
‘A ring in the heart’
  1. Thomas C Butler1,
  2. Douglas Wall2,
  3. Christian Hamilton-Craig1
  1. 1Cardiology Department, The Prince Charles Hospital, Brisbane, Queensland, Australia
  2. 2Department of Cardiac Surgery, The Prince Charles Hospital, Brisbane, Queensland, Australia
  1. Correspondence to Dr Thomas C Butler, Cardiology Department, The Prince Charles Hospital, 30 Liverpool Road, Clayfield, Brisbane, QLD 4011, Australia; tombutler30{at}yahoo.com.au

Statistics from Altmetric.com

Clinical introduction

A 39-year-old man was referred with a history of progressive shortness of breath, NYHA class II, for further evaluation. Clinical examination revealed prominent V-waves in the jugular venous pulse, a parasternal heave and a soft systolic murmur at the left sternal edge. Respiratory function tests were normal and d-dimer was negative. Echocardiography demonstrated severe RV dilation, severe tricuspid regurgitation and an apically displaced septal leaflet of the tricuspid valve typical of Ebstein's anomaly (see online supplementary appendix movie 1). An abnormality was noted attached to the atrial aspect of the tricuspid valve on transthoracic and transoesophageal imaging (Figure 1A, B as …

View Full Text

Request permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.

Linked Articles