What age can Epstein Anomaly (it's a heart disease) patients live up to?

Answer 1

This article will help you regarding Prognosis:

Background: Professor Wilhelm Ebstein (1836-1912), who was a professor of medicine in Gottingen, Germany, first described Ebstein anomaly in 1866 (Ebstein, 1866; Scheibler, 1968; Mann, 1979). The condition accounts for less than 1% of congenital heart diseases and occurs in 1 in 210,000 live births (Keith, 1958). Ebstein anomaly occurs with equal frequency in male individuals and female individuals; severely affected neonates can present on the first day of life. The condition may completely escape detection, or patients may not become symptomatic until late in life. In some individuals, Ebstein anomaly is not diagnosed until the eighth decade of life (Allen, 1997). As many as one half of patients have an atrial septal defect (ASD), and as many as one quarter have an accessory conduction pathway.

Pathophysiology: Numerous abnormalities are associated with Ebstein anomaly, including the following:

* Ventricular septal defect (VSD) (Cromme-Dijkhuis, 1990; Gultekin, 1994; Dearani, 2000)

* Aortic coarctation (Salkar, 1996; Ebaid, 1999)

* Interatrial communication - ASD, especially secundum ASD, and patent foramen ovale (Gultekin, 1994; Fukuda, 1999; Dearani, 2000; Oechslin, 2000)

* Pulmonary atresia with an intact ventricular septum (Gultekin, 1994; Park, 1998)

* Partial atrioventricular canal (Dearani, 2000)

* Hypoplastic pulmonary arteries (Dearani, 2000)

* Patent ductus arteriosus (Dearani, 2000)

* Pulmonary stenosis (Celermajer, 1992; Gultekin, 1994)

* Parachute mitral valve (Dearani, 2000)

* Cleft anterior leaflet of the mitral valve (Dearani, 2000)

* Mitral valve prolapse (Dearani, 2000; Gultekin, 1994)

* Left ventricular outflow obstruction (Fukuda, 1999)

* Hypertensive pulmonary vascular disease (Fukuda, 1999)

* Congenital deaf-mutism (Khan, 1999)

* Corrected transposition of the great arteries (Silverman, 1995; Yesil, 1997; Brugada, 2000)

* Subaortic stenosis (Isobe, 1996)

* Tetralogy of Fallot (Sahai, 1994)

Frequency:

* In the US: Ebstein anomaly occurs in 1 of 210,000 live births (Keith, 1958).

Mortality/Morbidity: Mortality depends on the severity of the lesion and other cardiac defects in each patient. Patients with severe cases may die in infancy if untreated, whereas patients with mild or moderate cases may not present until the eighth decade of life.

Sex: Ebstein anomaly occurs with equal frequency in male and female individual.

Answer 2

Epstein Cardiac Anomaly

Answer 3

I assume you are refering to the type of congenital heart disease where the tricuspid valve is malformed. Affected infants grow poorly, have cyanosis and heart failure. Prognosis varies because thee are many variables such as the position of the aorta and pulmonary artery, whether there is an open ventricular septum, and additional anomalies of the pulmonary vessels.

Because there are so many variables, and other abnormalities of the heart are frequently present, it is difficult to give you an accurate prognosis.

I have older data (1985) that states the 10 year survival after the Fontan procedure is 70%. I am sure that improvements have been made since, but Epstein's anomaly is still a serious condition, not easy to correct or treat.

Answer 4

I read a case report of a 79 year old. It is dependent on onset, as well. There is an always an average age, but that just means averages taken from those who died very early all the way up to those who passed the marker for seeing geriatric doctors, ha ha. Just as with any disease or syndrome which can shorten life expectancy, there is no set date.... each sufferer has different severity of symptoms, and psychological factors, as well (depression often shortens even healthy subjects' expectancy).

Answer 5

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Answer 6

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