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February 1964

Ebstein's Anomaly in the Neonate: A Clinical Study of Three Cases Observed From Birth Through Infancy

Author Affiliations

Glen G. Cayler, MD, Sutter Community Hospitals, 52nd and F streets, Sacramento 19, Calif.; Instructor, Department of Pediatrics, Sapporo Medical College, Sapporo City, Japan, National Institutes of Health, Research Fellow in Pediatric Cardiology, 1962 (Dr. Yamauchi); American Heart Association Advanced Research Fellow, 1959-1961 (Dr. Cayler).; From the Department of Pediatrics, University of Oklahoma Medical Center, Children's Memorial Hospital, Oklahoma City, and The Sutter Community Hospitals, Sacramento.

Am J Dis Child. 1964;107(2):165-172. doi:10.1001/archpedi.1964.02080060167010

Introduction  During the past two years, we have observed the course of three patients with Ebstein's anomaly* of the tricuspid valve1 from birth through infancy. Previous authors2-11 have reported on the clinical findings and course of children with Ebstein's anomaly, but as yet only scanty information has appeared in the literature concerning the clinical findings and course of neonates and infants with this cardiac malformation.12-15It is the purpose of this paper to present in detail the clinical and laboratory findings and the course during the neonatal period and early infancy of the three patients of our experience. The differential diagnosis and management of patients with Ebstein's anomaly are also briefly discussed.

Report of Cases  Case 1.—This male infant, born at the University of Oklahoma Medical Center on Aug 16, 1960, was the fourth term child of a 29-year-old, gravida 6, white female. The mother's pregnancy and