REFERENCES
1. Mulder, B.J.M. 2003. Ebstein’s anomaly in the adult patient. Netherlands Heart Journal11 (5): 195-198.
2. Tsujii, N., Kurosaki, K., Yasuda, K., Mizuno, M., Sakaguchi, H., Hoashi, T., Ichikawa, H. and Shiraishi, I. 2016. Displacement of the anterior leaflet of the tricuspid valve: Rare variant of Ebstein’s anomaly. Pediatrics International58 (8): 775-777.
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Figures legends:
Figure 1. Transthoracic echocardiography. A: four chamber view showed apical displacement of all three tricuspid valve leaflets with no anterior leaflet elongation. B: Parasternal short axis view showed apical non compaction of left ventricle as an associated anomaly.
Figure 2. Anteroposterior chest X ray. Note increased cardiothoracic ratio due to enlarged right ventricle and also right atrium due to Ebstein anomaly and severe tricuspid regurgitation.
Figure 3. Electrocardiogram showed narrow QRS with first degree AV block. Note Q wave in II and aVF
Figure 4. CMR image demonstrates apical displacement of all tricuspid valve leaflets. A, B, C, and D show anterior tricuspid valve (yellow arrows), septal tricuspid (green arrow), and posterior tricuspid valve (thick pink arrows) displacement. The Redline depicts the approximate level of the mitral valve. E. Two-chamber cine function shows non-compaction LV