Clinical features, laboratory and operative findings were reviewed in 10 cases of Ebstein's anomaly admitted to Dong San Hospital, Keimyung University during a 7(1/2)-year period from January 1982 to June 1989. The following results obtained : 1) Exertional dyspnea(90%) and palpitation(30%) were the predominant symptoms, and cyanosis was documented in 2 cases among 10 patients. 2) Chest X-ray showed cardiomegaly in all cases, but cardio-thoracic ratio was above 0.6 in 4 cases. 3) Electrocardiograms showed RBBB in 4 cases, RVH in 2 cases, 1st degree AV block in 4 cases. 4) Echocardiograms and angiograms showed displacement of tricuspid valve in all cases. 5) Interatrial communication via atrial septal defect (5) and patent foramen ovale (5) was present in 10 cases(100%). 6) Operative findings of 5 cases showed abnormalities of septal leaflet in 5(100%), posterior leaflet in 5(100%), and anterior leaflet in 1 case (20%).
Atrioventricular Block ; Cardiomegaly ; Cyanosis ; Ebstein Anomaly ; Electrocardiography ; Foramen Ovale, Patent ; Heart Septal Defects, Atrial ; Humans ; Thorax ; Tricuspid Valve

Clinical features, laboratory and operative findings were reviewed in 10 cases of Ebstein's anomaly admitted to Dong San Hospital, Keimyung University during a 7(1/2)-year period from January 1982 to June 1989. The following results obtained : 1) Exertional dyspnea(90%) and palpitation(30%) were the predominant symptoms, and cyanosis was documented in 2 cases among 10 patients. 2) Chest X-ray showed cardiomegaly in all cases, but cardio-thoracic ratio was above 0.6 in 4 cases. 3) Electrocardiograms showed RBBB in 4 cases, RVH in 2 cases, 1st degree AV block in 4 cases. 4) Echocardiograms and angiograms showed displacement of tricuspid valve in all cases. 5) Interatrial communication via atrial septal defect (5) and patent foramen ovale (5) was present in 10 cases(100%). 6) Operative findings of 5 cases showed abnormalities of septal leaflet in 5(100%), posterior leaflet in 5(100%), and anterior leaflet in 1 case (20%).
Atrioventricular Block ; Cardiomegaly ; Cyanosis ; Ebstein Anomaly ; Electrocardiography ; Foramen Ovale, Patent ; Heart Septal Defects, Atrial ; Humans ; Thorax ; Tricuspid Valve

Clinical features, laboratory and operative findings were reviewed in 10 cases of Ebstein's anomaly admitted to Dong San Hospital, Keimyung University during a 7(1/2)-year period from January 1982 to June 1989. The following results obtained : 1) Exertional dyspnea(90%) and palpitation(30%) were the predominant symptoms, and cyanosis was documented in 2 cases among 10 patients. 2) Chest X-ray showed cardiomegaly in all cases, but cardio-thoracic ratio was above 0.6 in 4 cases. 3) Electrocardiograms showed RBBB in 4 cases, RVH in 2 cases, 1st degree AV block in 4 cases. 4) Echocardiograms and angiograms showed displacement of tricuspid valve in all cases. 5) Interatrial communication via atrial septal defect (5) and patent foramen ovale (5) was present in 10 cases(100%). 6) Operative findings of 5 cases showed abnormalities of septal leaflet in 5(100%), posterior leaflet in 5(100%), and anterior leaflet in 1 case (20%).
Atrioventricular Block ; Cardiomegaly ; Cyanosis ; Ebstein Anomaly ; Electrocardiography ; Foramen Ovale, Patent ; Heart Septal Defects, Atrial ; Humans ; Thorax ; Tricuspid Valve

Clinical features, laboratory and operative findings were reviewed in 10 cases of Ebstein's anomaly admitted to Dong San Hospital, Keimyung University during a 7(1/2)-year period from January 1982 to June 1989. The following results obtained : 1) Exertional dyspnea(90%) and palpitation(30%) were the predominant symptoms, and cyanosis was documented in 2 cases among 10 patients. 2) Chest X-ray showed cardiomegaly in all cases, but cardio-thoracic ratio was above 0.6 in 4 cases. 3) Electrocardiograms showed RBBB in 4 cases, RVH in 2 cases, 1st degree AV block in 4 cases. 4) Echocardiograms and angiograms showed displacement of tricuspid valve in all cases. 5) Interatrial communication via atrial septal defect (5) and patent foramen ovale (5) was present in 10 cases(100%). 6) Operative findings of 5 cases showed abnormalities of septal leaflet in 5(100%), posterior leaflet in 5(100%), and anterior leaflet in 1 case (20%).
Atrioventricular Block ; Cardiomegaly ; Cyanosis ; Ebstein Anomaly ; Electrocardiography ; Foramen Ovale, Patent ; Heart Septal Defects, Atrial ; Humans ; Thorax ; Tricuspid Valve

Clinical features, laboratory and operative findings were reviewed in 10 cases of Ebstein's anomaly admitted to Dong San Hospital, Keimyung University during a 7(1/2)-year period from January 1982 to June 1989. The following results obtained : 1) Exertional dyspnea(90%) and palpitation(30%) were the predominant symptoms, and cyanosis was documented in 2 cases among 10 patients. 2) Chest X-ray showed cardiomegaly in all cases, but cardio-thoracic ratio was above 0.6 in 4 cases. 3) Electrocardiograms showed RBBB in 4 cases, RVH in 2 cases, 1st degree AV block in 4 cases. 4) Echocardiograms and angiograms showed displacement of tricuspid valve in all cases. 5) Interatrial communication via atrial septal defect (5) and patent foramen ovale (5) was present in 10 cases(100%). 6) Operative findings of 5 cases showed abnormalities of septal leaflet in 5(100%), posterior leaflet in 5(100%), and anterior leaflet in 1 case (20%).
Atrioventricular Block ; Cardiomegaly ; Cyanosis ; Ebstein Anomaly ; Electrocardiography ; Foramen Ovale, Patent ; Heart Septal Defects, Atrial ; Humans ; Thorax ; Tricuspid Valve

Clinical features, laboratory and operative findings were reviewed in 10 cases of Ebstein's anomaly admitted to Dong San Hospital, Keimyung University during a 7(1/2)-year period from January 1982 to June 1989. The following results obtained : 1) Exertional dyspnea(90%) and palpitation(30%) were the predominant symptoms, and cyanosis was documented in 2 cases among 10 patients. 2) Chest X-ray showed cardiomegaly in all cases, but cardio-thoracic ratio was above 0.6 in 4 cases. 3) Electrocardiograms showed RBBB in 4 cases, RVH in 2 cases, 1st degree AV block in 4 cases. 4) Echocardiograms and angiograms showed displacement of tricuspid valve in all cases. 5) Interatrial communication via atrial septal defect (5) and patent foramen ovale (5) was present in 10 cases(100%). 6) Operative findings of 5 cases showed abnormalities of septal leaflet in 5(100%), posterior leaflet in 5(100%), and anterior leaflet in 1 case (20%).
Atrioventricular Block ; Cardiomegaly ; Cyanosis ; Ebstein Anomaly ; Electrocardiography ; Foramen Ovale, Patent ; Heart Septal Defects, Atrial ; Humans ; Thorax ; Tricuspid Valve

PURPOSE: Transcatheter closure of patent foramen ovale (PFO), atrial septal defect (ASD) and patent ductus arteriosus (PDA) is a new and less traumatic technique than open heart surgery. One of the more popular occluding devices is the Amplatzer(R) septal occluder which is made of nitinol. The present study was undertaken to evaluate the safety and release of nickel after implantation of Amplatzer(R) occluder in patients with PFO, ASD and PDA. METHODS: Random blood samples were obtained from 25 patients with Amplatzer(R) PFO, ASD, PDA occluder during 4-year and 7-month post closure period. The nickel content in the specimens was determined using atomic absorption spectrometer. RESULTS: All patients showed satisfactory clinical improvements and there was no echocardiographic evidence of complications. During the post closure, concentrations of nickel in serum were within normal range with values 0.2 ug/dL. CONCLUSION: Nickel seems to be released from Amplatzer(R) occluder. The dissolusion of nickel from Amplatzer(R) occluder is minimal and systemic rise in serum levels of nickel are within normal range. However, further studies are needed to evaluate biological effects in patients with nickel hypersensitivity.
Absorption ; Ductus Arteriosus, Patent ; Echocardiography ; Foramen Ovale, Patent ; Heart Septal Defects, Atrial ; Humans ; Hypersensitivity ; Nickel ; Reference Values ; Septal Occluder Device ; Thoracic Surgery

Isolated right ventricular hypoplasia, unassociated with severe pulmonary or tricuspid valvar malformations, is a rare primary congenital cardiac anomaly in which of the trabecular portion of right ventricle fails to develop. An atrial septal defect or a patent foramen ovale serves as an escape valve. We observed a 2-day-old neonate with this disorder who suffered from cyanosis. The diagnosis was made by Doppler-echocardiography which revealed marked reduction in right ventricular size and right-to-left shunt through the atrial septal defect. There was no other cardiac malformation such as pulmonary atresia or tricuspid atresia.
Cyanosis ; Diagnosis ; Foramen Ovale, Patent ; Heart Defects, Congenital ; Heart Septal Defects, Atrial ; Heart Ventricles ; Humans ; Infant, Newborn ; Pulmonary Atresia ; Tricuspid Atresia ; United Nations

Isolated right ventricular hypoplasia, unassociated with severe pulmonary or tricuspid valvar malformations, is a rare primary congenital cardiac anomaly in which of the trabecular portion of right ventricle fails to develop. An atrial septal defect or a patent foramen ovale serves as an escape valve. We observed a 2-day-old neonate with this disorder who suffered from cyanosis. The diagnosis was made by Doppler-echocardiography which revealed marked reduction in right ventricular size and right-to-left shunt through the atrial septal defect. There was no other cardiac malformation such as pulmonary atresia or tricuspid atresia.
Cyanosis ; Diagnosis ; Foramen Ovale, Patent ; Heart Defects, Congenital ; Heart Septal Defects, Atrial ; Heart Ventricles ; Humans ; Infant, Newborn ; Pulmonary Atresia ; Tricuspid Atresia ; United Nations

Isolated right ventricular hypoplasia, unassociated with severe pulmonary or tricuspid valvar malformations, is a rare primary congenital cardiac anomaly in which of the trabecular portion of right ventricle fails to develop. An atrial septal defect or a patent foramen ovale serves as an escape valve. We observed a 2-day-old neonate with this disorder who suffered from cyanosis. The diagnosis was made by Doppler-echocardiography which revealed marked reduction in right ventricular size and right-to-left shunt through the atrial septal defect. There was no other cardiac malformation such as pulmonary atresia or tricuspid atresia.
Cyanosis ; Diagnosis ; Foramen Ovale, Patent ; Heart Defects, Congenital ; Heart Septal Defects, Atrial ; Heart Ventricles ; Humans ; Infant, Newborn ; Pulmonary Atresia ; Tricuspid Atresia ; United Nations