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A young male with progressive dyspnea: Ebstein’s anomaly

  • Edgar Francisco Carrizales-Sepúlveda
  • Raymundo Vera-Pineda
  • Ramiro Flores-Ramírez
  • Alejandro Ordaz-Farías
CE - MEDICAL ILLUSTRATION
A 32-year-old man presented to the out-patient clinic with complaints of progressive dyspnea. The symptoms began 2 years before the patient’s presentation to our clinic, he also reported occasional palpitations in the prior month. On initial examination, the pulse was regular, heart rate was 107 bpm, and blood pressure was 110/70 mmHg in the right arm and 110/60 mmHg in the left arm in both standing and supine positions. There was no jugular venous distention, no kussmaul sign, and no hepatojugular reflux. On chest auscultation, there was a systolic, III/VI murmur located on the left parasternal border, fifth intercostal space that increased during inspiration. Also, there was a fixed splitting of the second heart sound, there was no evident lower extremity edema. A 12-lead electrocardiogram showed a complete right bundle branch block, and non-specific abnormalities of the QRS complex. A transthoracic echocardiogram was performed, findings are shown in Fig.  1a, b. A diagnosis of...

Notes

Author contributions

All authors had full access to data and a role in the preparation of this manuscript.

Funding

None.

Compliance with ethical standards

Conflict of interest

No conflict of interest to disclose.

Statement of human and animal rights

This article does not contain any studies with human participants or animals performed by any of the authors.

Informed consent

Informed consent was obtained from the patient.

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Copyright information

© Società Italiana di Medicina Interna (SIMI) 2018

Authors and Affiliations

  1. 1.Internal Medicine Department, Hospital UniversitarioUniversidad Autónoma de Nuevo LeónMonterreyMexico
  2. 2.Echocardiography Laboratory, Cardiology Service, Hospital UniversitarioUniversidad Autónoma de Nuevo LeónMonterreyMexico

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