• Saudi Med J · Dec 2014

    Case Reports

    Ventricular tachycardia an atypical presentation of Ebstein's disease.

    • Gabriel E Baztarrica, Gastón G Sereno, Sebastían A Villecco, and Rafael Porcile.
    • Department of Cardiology and Physiology, Faculty of Medicine, Universidad Abierta Interamericana, Buenos Aires, Argentina. E-mail. gpbaztarrica@yahoo.com.
    • Saudi Med J. 2014 Dec 1; 35 (12): 151015121510-2.

    AbstractEbstein's anomaly (EA) is a rare congenital malformation, characterized by an apical displacement and dysplasia of the septal leaflet of the tricuspid valve with a right ventricular atrialization compromising its function. This malformation includes electrical conduction abnormalities, and very rarely ventricular arrhythmias. We report the case of a 22-year-old male, presenting with dizziness and palpitations. The electrocardiogram showed a sustained monomorphic ventricular tachycardia (SMVT). The presentation of the disease with ventricular tachycardia associated with hemodynamic instability is extremely rare. We placed a surgical implantable cardiac defibrillator when the diagnosis of EA, SMVT, and right ventricular systolic impairment was confirmed. 

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