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A Case of Ebstein Anomaly with Left Ventricular Noncompaction and Anomalous Mitral Chordae to the Septum

 Senior Consultant Cardiologist, Max Diagnostic, Ranihat, Cuttack, Odisha, India

Correspondence Address:
Biswaranjan Mishra,
201, Chandralok Apartment, Professorpada, Cuttack - 753 003, Odisha
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/jiae.jiae_76_20

Left-sided involvement is increasingly recognized in cases of Ebstein anomaly (EA) of tricuspid valve, thus making it not an exclusive right-sided disease, rather a global form of heart disease, a type of cardiomyopathy. Left-sided involvement commonly occurs in the form of noncompaction. Mitral valve prolapse and other forms of mitral and aortic valve abnormalities are also associated with EA that contribute to the patient's symptoms and prognosis. Here is a case report of EA in a 25-year-old female presenting with dyspnea. Echocardiography revealed left ventricular (LV) noncompaction fulfilling Jenni criteria. In addition, there was an abnormal chordal attachment from the anterolateral papillary muscle to the ventricular septum. There was no LV outflow obstruction, ventricular functions were normal. The combined involvement of LV myocardium and mitral apparatus in EA made this case unique in its category.

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