Heart transplant in a 14 year old patient with Ebstein's anomaly! ❤ Usually Ebstein's is found at birth but here it wasn't found until the patient was 14 and in severe heart failure! Ebstein's anomaly is a congenital heart defect in which the septal and posterior leaflets of the tricuspid valve are displaced towards the apex of the right ventricle of the heart. It is classified as a critical congenital heart defect accounting for <1% of all congenital heart defects presenting in ≈1 per 200,000 live births. The tricuspid valve normally sits between the two right heart chambers (right atrium and right ventricle). In Ebstein anomaly, the tricuspid valve sits lower than normal in the right ventricle. This makes it so that a portion of the right ventricle becomes part of the right atrium, causing the right atrium to enlarge and not work properly. Also, the tricuspid valve's leaflets are abnormally formed. This can lead to blood leaking backward into the right atrium (tricuspid valve regurgitation). The location of the valve and how poorly it's formed varies from person to person. Some people have a mildly abnormal valve. Others have a valve leaks severely. Treatment of Ebstein anomaly depends on the severity of the defect and your signs and symptoms. The goal of treatment is to reduce your symptoms and avoid future complications, such as heart failure and arrhythmias. In this case, heart transplantation was performed. Credit: @theboywiththedinosaurtattoo
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