Ebstein's anomaly associated with severe valvar pulmonary stenosis: Successful palliation with balloon pulmonary valvuloplasty in an adult

We report a 52-year-old adult with Ebstein's anomaly associated with severe valvar pulmonary stenosis, secundum atrial septal defect, polycythemia, hy poxemia, and severe exertional limitations. Balloon pulmonary valvuloplasty relieved the valvar obstruction, reduced the degree of tricuspid regurgita tion and polycythemia, acid improved systemic oxygenation and exercise abil ities. Use of this technique in patients with this combination of lesions c an postpone the need for surgical intervention. Cathet. Cardiovasc. Interve nt. 46:441-444 1999. (C) 1999 Wiley-Liss, Inc.