{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,9]],"date-time":"2026-03-09T02:08:41Z","timestamp":1773022121101,"version":"3.50.1"},"reference-count":12,"publisher":"BMJ","issue":"12","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2019,12,11]]},"published-print":{"date-parts":[[2019,12]]},"abstract":"<jats:p>We present the case of an infant with prenatal diagnosis, at 32 weeks gestation, of Ebstein\u2019s anomaly without anterograde flow from right ventricular to pulmonary atresia (PA)\u2014functional PA with flow reversal in the ductus arteriosus. Prostaglandin E1 was started after birth. Chest X-ray showed severe cardiomegaly and echocardiogram confirmed Ebstein\u2019s anomaly with a thickened non-opening pulmonary valve without anterograde flow but with mild regurgitation. Multidisciplinary team decision was to progressively reduce prostaglandins and have an expectant attitude. Peripheral oxygen saturation above 85% was maintained and serial echocardiograms documented progressive reduction of the ductus arteriosus and the opening of the pulmonic valve cusps, with the development of anterograde flow. The newborn was discharged at day 19 of life without the need for any intervention, and at last follow-up remains asymptomatic, with anterograde normal flow in the pulmonary valve.<\/jats:p>","DOI":"10.1136\/bcr-2019-229809","type":"journal-article","created":{"date-parts":[[2019,12,30]],"date-time":"2019-12-30T04:14:17Z","timestamp":1577679257000},"page":"e229809","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":4,"title":["Ebstein\u2019s anomaly with \u2018reversible\u2019 functional pulmonary atresia"],"prefix":"10.1136","volume":"12","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1063-7174","authenticated-orcid":false,"given":"Jo\u00e3o","family":"Rato","sequence":"first","affiliation":[{"name":"Pediatric Cardiology, Centro Hospitalar de Lisboa Ocidental EPE, Carnaxide, Lisboa, Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1825-6373","authenticated-orcid":false,"given":"Ana","family":"R Sousa","sequence":"additional","affiliation":[{"name":"Pediatric Cardiology, Centro Hospitalar de Lisboa Ocidental EPE, Carnaxide, Lisboa, Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ana","family":"Teixeira","sequence":"additional","affiliation":[{"name":"Pediatric Cardiology, Centro Hospitalar de Lisboa Ocidental EPE, Carnaxide, Lisboa, Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rui","family":"Anjos","sequence":"additional","affiliation":[{"name":"Pediatric Cardiology, Hospital Santa Cruz, Carnaxide, Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2019,12,29]]},"reference":[{"key":"2025082707085072000_12.12.e229809.1","doi-asserted-by":"crossref","first-page":"1101","DOI":"10.1586\/14779072.2015.1087849","article-title":"Ebstein anomaly review: what's now, what's next?","volume":"13","author":"Dearani","year":"2015","journal-title":"Expert Rev Cardiovasc Ther"},{"key":"2025082707085072000_12.12.e229809.2","doi-asserted-by":"publisher","DOI":"10.1016\/S1010-7940(01)00913-7"},{"key":"2025082707085072000_12.12.e229809.3","doi-asserted-by":"publisher","DOI":"10.1016\/j.jtcvs.2008.02.034"},{"key":"2025082707085072000_12.12.e229809.4","doi-asserted-by":"publisher","DOI":"10.1016\/j.jtcvs.2004.02.012"},{"key":"2025082707085072000_12.12.e229809.5","doi-asserted-by":"publisher","DOI":"10.1016\/0735-1097(94)90516-9"},{"key":"2025082707085072000_12.12.e229809.6","doi-asserted-by":"publisher","DOI":"10.1016\/0735-1097(91)90722-L"},{"key":"2025082707085072000_12.12.e229809.7","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.115.015839"},{"key":"2025082707085072000_12.12.e229809.8","doi-asserted-by":"publisher","DOI":"10.1016\/j.jtcvs.2011.01.029"},{"key":"2025082707085072000_12.12.e229809.9","doi-asserted-by":"crossref","first-page":"331","DOI":"10.1053\/j.semtcvs.2017.09.006","article-title":"Neonatal Ebstein anomaly","volume":"29","author":"Kumar","year":"2017","journal-title":"Semin Thorac Cardiovasc Surg"},{"key":"2025082707085072000_12.12.e229809.10","doi-asserted-by":"publisher","DOI":"10.1016\/j.jtcvs.2006.09.018"},{"key":"2025082707085072000_12.12.e229809.11","doi-asserted-by":"crossref","first-page":"160","DOI":"10.1016\/j.athoracsur.2017.09.058","article-title":"Improving results of surgery for Ebstein anomaly: where are we after 235 cone repairs?","volume":"105","author":"Holst","year":"2018","journal-title":"Ann Thorac Surg"},{"key":"2025082707085072000_12.12.e229809.12","doi-asserted-by":"crossref","first-page":"516","DOI":"10.1016\/j.jtcvs.2016.03.084","article-title":"Outcomes of neonatal Ebstein's anomaly without right ventricular forward flow","volume":"152","author":"Baek","year":"2016","journal-title":"J Thorac Cardiovasc Surg"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2019-229809","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T14:08:58Z","timestamp":1756303738000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2019-229809"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,12]]},"references-count":12,"journal-issue":{"issue":"12","published-online":{"date-parts":[[2019,12,29]]},"published-print":{"date-parts":[[2019,12]]}},"alternative-id":["10.1136\/bcr-2019-229809"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2019-229809","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019,12]]}}}