Ebstein's malformation of the tricuspid valve in the neonate: Functional and anatomic pulmonary outflow tract obstruction
The clinical and physiologic data obtained in 4 infants with Ebstein's malformation and 2 with pulmonary atresia with intact ventricular septum and large volume right ventricle have been presented. These two conditions may be extremely difficult to differentiate in the neonatal period on clinic...
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| Veröffentlicht in: | The American journal of cardiology 1967-01, Vol.19 (5), p.727-731 |
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| container_title | The American journal of cardiology |
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| creator | Newfeld, Edgar A. Cole, Roger B. Paul, Milton H. |
| description | The clinical and physiologic data obtained in 4 infants with Ebstein's malformation and 2 with pulmonary atresia with intact ventricular septum and large volume right ventricle have been presented. These two conditions may be extremely difficult to differentiate in the neonatal period on clinical grounds alone, and catheterization and angiocardiographic studies are required for an accurate diagnosis. Functional pulmonary valve obstruction in neonates with Ebstein's malformation resulting from ineffective forward ejection of right ventricular blood and with little or no blood traversing a normal pulmonary valve has been demonstrated angiocardiographically. Anatomic obstruction of the right ventricular outflow tract by the large curtain-like, malaligned tricuspid valve leaflet has also been demonstrated. An accurate assessment of the anatomy and physiology of the pulmonary outflow tract is essential to therapeutic management. |
| doi_str_mv | 10.1016/0002-9149(67)90478-X |
| format | Article |
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These two conditions may be extremely difficult to differentiate in the neonatal period on clinical grounds alone, and catheterization and angiocardiographic studies are required for an accurate diagnosis. Functional pulmonary valve obstruction in neonates with Ebstein's malformation resulting from ineffective forward ejection of right ventricular blood and with little or no blood traversing a normal pulmonary valve has been demonstrated angiocardiographically. Anatomic obstruction of the right ventricular outflow tract by the large curtain-like, malaligned tricuspid valve leaflet has also been demonstrated. An accurate assessment of the anatomy and physiology of the pulmonary outflow tract is essential to therapeutic management.</description><identifier>ISSN: 0002-9149</identifier><identifier>EISSN: 1879-1913</identifier><identifier>DOI: 10.1016/0002-9149(67)90478-X</identifier><identifier>PMID: 6023469</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Angiocardiography ; Cardiac Catheterization ; Cineangiography ; Diagnosis, Differential ; Ebstein Anomaly - diagnosis ; Ebstein Anomaly - diagnostic imaging ; Electrocardiography ; Humans ; Infant, Newborn ; Infant, Newborn, Diseases - diagnosis ; Pulmonary Valve - abnormalities ; Vascular Diseases - diagnostic imaging ; Vectorcardiography</subject><ispartof>The American journal of cardiology, 1967-01, Vol.19 (5), p.727-731</ispartof><rights>1967</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/0002-9149(67)90478-X$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,777,781,3537,27905,27906,45976</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/6023469$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Newfeld, Edgar A.</creatorcontrib><creatorcontrib>Cole, Roger B.</creatorcontrib><creatorcontrib>Paul, Milton H.</creatorcontrib><title>Ebstein's malformation of the tricuspid valve in the neonate: Functional and anatomic pulmonary outflow tract obstruction</title><title>The American journal of cardiology</title><addtitle>Am J Cardiol</addtitle><description>The clinical and physiologic data obtained in 4 infants with Ebstein's malformation and 2 with pulmonary atresia with intact ventricular septum and large volume right ventricle have been presented. These two conditions may be extremely difficult to differentiate in the neonatal period on clinical grounds alone, and catheterization and angiocardiographic studies are required for an accurate diagnosis. Functional pulmonary valve obstruction in neonates with Ebstein's malformation resulting from ineffective forward ejection of right ventricular blood and with little or no blood traversing a normal pulmonary valve has been demonstrated angiocardiographically. Anatomic obstruction of the right ventricular outflow tract by the large curtain-like, malaligned tricuspid valve leaflet has also been demonstrated. An accurate assessment of the anatomy and physiology of the pulmonary outflow tract is essential to therapeutic management.</description><subject>Angiocardiography</subject><subject>Cardiac Catheterization</subject><subject>Cineangiography</subject><subject>Diagnosis, Differential</subject><subject>Ebstein Anomaly - diagnosis</subject><subject>Ebstein Anomaly - diagnostic imaging</subject><subject>Electrocardiography</subject><subject>Humans</subject><subject>Infant, Newborn</subject><subject>Infant, Newborn, Diseases - diagnosis</subject><subject>Pulmonary Valve - abnormalities</subject><subject>Vascular Diseases - diagnostic imaging</subject><subject>Vectorcardiography</subject><issn>0002-9149</issn><issn>1879-1913</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1967</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNo9UV1LwzAUDaLMOf0HCnny46GaNGnS-CDI2FQY-KKwt5CmKUbapjbpZP_edBs-XC733HO_zgXgEqN7jDB7QAilicBU3DJ-JxDlebI-AlOcc5FggckxmP5TTsGZ998xxDhjEzBhKCWUiSnYLgofjG1vPGxUXbm-UcG6FroKhi8DQ2_14Dtbwo2qNwbadge3xrUqmEe4HFo98lUNVVtGU8E1VsNuqJuI9lvohlDV7jd2UjpAF6f1w67kHJxUqvbm4uBn4HO5-Ji_Jqv3l7f58yoxKcMhwZwwxHKOCCMFS3XGhGacqkzQtIiQ0RUnIhdK8YyKQqSo1CrPC4FIWmS0IjNwve_b9e5nMD7Ixnpt6lrFKwYvc0opFxmKxKsDcSgaU8qut028QB60ivmnfd7EbTfW9NJra1ptStsbHWTprMRIjr-Ro_ByFF4yLne_kWvyByqKgak</recordid><startdate>19670101</startdate><enddate>19670101</enddate><creator>Newfeld, Edgar A.</creator><creator>Cole, Roger B.</creator><creator>Paul, Milton H.</creator><general>Elsevier Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>7X8</scope></search><sort><creationdate>19670101</creationdate><title>Ebstein's malformation of the tricuspid valve in the neonate: Functional and anatomic pulmonary outflow tract obstruction</title><author>Newfeld, Edgar A. ; Cole, Roger B. ; Paul, Milton H.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-e261t-173606870363b62c569c674a5942b63becf73989aa7549b920dca88b9032b54f3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1967</creationdate><topic>Angiocardiography</topic><topic>Cardiac Catheterization</topic><topic>Cineangiography</topic><topic>Diagnosis, Differential</topic><topic>Ebstein Anomaly - diagnosis</topic><topic>Ebstein Anomaly - diagnostic imaging</topic><topic>Electrocardiography</topic><topic>Humans</topic><topic>Infant, Newborn</topic><topic>Infant, Newborn, Diseases - diagnosis</topic><topic>Pulmonary Valve - abnormalities</topic><topic>Vascular Diseases - diagnostic imaging</topic><topic>Vectorcardiography</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Newfeld, Edgar A.</creatorcontrib><creatorcontrib>Cole, Roger B.</creatorcontrib><creatorcontrib>Paul, Milton H.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>MEDLINE - Academic</collection><jtitle>The American journal of cardiology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Newfeld, Edgar A.</au><au>Cole, Roger B.</au><au>Paul, Milton H.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Ebstein's malformation of the tricuspid valve in the neonate: Functional and anatomic pulmonary outflow tract obstruction</atitle><jtitle>The American journal of cardiology</jtitle><addtitle>Am J Cardiol</addtitle><date>1967-01-01</date><risdate>1967</risdate><volume>19</volume><issue>5</issue><spage>727</spage><epage>731</epage><pages>727-731</pages><issn>0002-9149</issn><eissn>1879-1913</eissn><abstract>The clinical and physiologic data obtained in 4 infants with Ebstein's malformation and 2 with pulmonary atresia with intact ventricular septum and large volume right ventricle have been presented. These two conditions may be extremely difficult to differentiate in the neonatal period on clinical grounds alone, and catheterization and angiocardiographic studies are required for an accurate diagnosis. Functional pulmonary valve obstruction in neonates with Ebstein's malformation resulting from ineffective forward ejection of right ventricular blood and with little or no blood traversing a normal pulmonary valve has been demonstrated angiocardiographically. Anatomic obstruction of the right ventricular outflow tract by the large curtain-like, malaligned tricuspid valve leaflet has also been demonstrated. An accurate assessment of the anatomy and physiology of the pulmonary outflow tract is essential to therapeutic management.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>6023469</pmid><doi>10.1016/0002-9149(67)90478-X</doi><tpages>5</tpages></addata></record> |
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| ispartof | The American journal of cardiology, 1967-01, Vol.19 (5), p.727-731 |
| issn | 0002-9149 1879-1913 |
| language | eng |
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| source | MEDLINE; Elsevier ScienceDirect Journals |
| subjects | Angiocardiography Cardiac Catheterization Cineangiography Diagnosis, Differential Ebstein Anomaly - diagnosis Ebstein Anomaly - diagnostic imaging Electrocardiography Humans Infant, Newborn Infant, Newborn, Diseases - diagnosis Pulmonary Valve - abnormalities Vascular Diseases - diagnostic imaging Vectorcardiography |
| title | Ebstein's malformation of the tricuspid valve in the neonate: Functional and anatomic pulmonary outflow tract obstruction |
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