E-page Original Images: A case of Ebstein anomaly and biventricular noncompaction

Ebstein anomaly and noncompaction affecting both ventricles are very rarely seen together in adults. A 21 years old male patient was referred to our center from a regional hospital, because of a systolic murmur determined during physical examination. We found Ebstein anomaly, moderate tricuspid regurgitation and hyper-trabeculation of both ventricular apexes with blood flow among the recesses during transthoracic echocardiographic examination (Philips I33) (Fig. 1 and Video 1. See corresponding video/movie images at www.anakarder.com). Interestingly, parasternal and apical views suggested a papillary muscle anomaly not confirmed on two-dimensional transthoracic echocardiog- raphy.