Ebstein's anomaly

In babies:

• cyanosis (bluish discoloration of the skin)
• shortness of breath

Older children and adults:

• shortness of breath
• fatigue during play
• heart palpitations/irregular heartbeat (arrhythmia)
• cyanosis
• leg swelling

Your child's consultant will your discuss symptoms with you. The following tests can be carried out if they suspect you or your child may have Ebstein's anomaly:

• chest X-ray to determine if you or your child has an enlarged hear
• an echocardiogram to monitor any heart defects through ultrasonic waves
• an electrocardiogram (ECG) uses sensors (electrodes) to assess heartbeat regularity
• Holter monitor (essentially a portable ECG) to be worn for one to two days
• cardiac catheterisation is a less common technique to assess blood flow through the heart and vessels

Your consultant will discuss treatment options and the best possible approach for you or your child. These might include:

• monitoring through physical examinations
• medication to control heart rate and rhythm
• surgery may be required to either repair or replace the tricuspid valve
• If Ebstein's anomaly occurs along with atrial septal defect, the hole can be closed at the same time