Cone Repair for Ebstein’s Anomaly in a Ten-Year-Old Girl


The patient was a ten-year-old, 43.3 kg girl who had a well-known diagnosis of Ebstein’s anomaly and underwent a previous electrophysiologic study with catheter ablation of an accessory conduction pathway because of Wolff-Parkinson-White syndrome. She presented with exertional fatigue and increased work of breathing. A transthoracic echocardiogram showed severe tricuspid valve regurgitation and typical features of Ebstein’s anomaly. There was significant enlargement of the right atrial and right ventricular chambers, in addition to a patent foramen ovale.

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