Ebstein's Anomaly Diseases of the Chest ALBERT J. LIBANOFF, M.D., GUY M. BOITEAU, M.D.  Diseases of the Chest  Volume 45, Issue 2, Pages 211-218 (February 1964) DOI: 10.1378/chest.45.2.211 Copyright © 1964 The American College of Chest Physicians Terms and Conditions

Figure 1 Illustration is a schematic picture of the heart in Ebstein's anomaly. Diseases of the Chest 1964 45, 211-218DOI: (10.1378/chest.45.2.211) Copyright © 1964 The American College of Chest Physicians Terms and Conditions

Figure 1A Posteroanterior film of chest showing cardiomegaly. Diseases of the Chest 1964 45, 211-218DOI: (10.1378/chest.45.2.211) Copyright © 1964 The American College of Chest Physicians Terms and Conditions

Figure 1B Lateral chest x-ray film. Diseases of the Chest 1964 45, 211-218DOI: (10.1378/chest.45.2.211) Copyright © 1964 The American College of Chest Physicians Terms and Conditions

Figure 1C Catheter just proximal to tricuspid valve where an atrial pressure was obtained. Diseases of the Chest 1964 45, 211-218DOI: (10.1378/chest.45.2.211) Copyright © 1964 The American College of Chest Physicians Terms and Conditions

Figure 2A Electrocardiogram and vectorcardiogram showing normal sinus rhythm. Electrocardiogram shows peaked P-waves in V2 and V2, and incomplete right bundle branch block. Vectorcardiogram reveals a large atrial loop consistent with right atrial enlargement. Diseases of the Chest 1964 45, 211-218DOI: (10.1378/chest.45.2.211) Copyright © 1964 The American College of Chest Physicians Terms and Conditions

Figure 2B Electrocardiogram showing 2° heart block. (P) denotes atrial beats. Diseases of the Chest 1964 45, 211-218DOI: (10.1378/chest.45.2.211) Copyright © 1964 The American College of Chest Physicians Terms and Conditions

Figure 3 Phonocardiogram. Note fourth heart sound present at L2, 50–200. Arrow indicates this sound. Diastolic murmur with pre-systolic accentuation present at the apex. Diseases of the Chest 1964 45, 211-218DOI: (10.1378/chest.45.2.211) Copyright © 1964 The American College of Chest Physicians Terms and Conditions

Figure 4A Right atrial pressure curve with arterial pressure on top. Note A-wave=9, and V-wave=7. Diseases of the Chest 1964 45, 211-218DOI: (10.1378/chest.45.2.211) Copyright © 1964 The American College of Chest Physicians Terms and Conditions

Figure 4B Main pulmonary artery pressure curve with arterial pressure on top. Diseases of the Chest 1964 45, 211-218DOI: (10.1378/chest.45.2.211) Copyright © 1964 The American College of Chest Physicians Terms and Conditions

Figure 5A Anteroposterior film during angiogram. Note large right atrium with arrows showing tricuspid valve. Diseases of the Chest 1964 45, 211-218DOI: (10.1378/chest.45.2.211) Copyright © 1964 The American College of Chest Physicians Terms and Conditions

Figure 5B Lateral film during angiogram taken the same time as Fig. 5A. Note, again, the large right atrium. Arrow points to cardiac catheter in right atrium. Diseases of the Chest 1964 45, 211-218DOI: (10.1378/chest.45.2.211) Copyright © 1964 The American College of Chest Physicians Terms and Conditions

Figure 6A Dye curves done with patient at rest. Note that twice as much dye was injected into the atrium as compared to the main pulmonary artery. Diseases of the Chest 1964 45, 211-218DOI: (10.1378/chest.45.2.211) Copyright © 1964 The American College of Chest Physicians Terms and Conditions

Figure 6B Dye curve in the mid-right ventricle, distal to the tricuspid valve and recording from the right radial artery. Diseases of the Chest 1964 45, 211-218DOI: (10.1378/chest.45.2.211) Copyright © 1964 The American College of Chest Physicians Terms and Conditions

Figure 6C Dye curve done with patient exercising. Note, in contrast to Fig. 6A, both dye curves were done with the same amount of dye. The dye used is indocyanine-green.11 Diseases of the Chest 1964 45, 211-218DOI: (10.1378/chest.45.2.211) Copyright © 1964 The American College of Chest Physicians Terms and Conditions