Ebstein's anomaly
ICD-10 Q22.5 is a billable code used to indicate a diagnosis of ebstein's anomaly.
Ebstein's anomaly is a rare congenital heart defect characterized by a malformation of the tricuspid valve and the right side of the heart. In this condition, the tricuspid valve is malformed and positioned lower than normal in the right ventricle, which can lead to a range of complications including right atrial enlargement, atrial arrhythmias, and heart failure. The defect can also result in the backflow of blood from the right ventricle into the right atrium, causing increased pressure and volume overload in the right atrium. Symptoms may vary from mild to severe and can include cyanosis, fatigue, palpitations, and shortness of breath. Diagnosis is typically made through echocardiography, which can visualize the structural abnormalities of the heart. Management may involve medical therapy, catheter-based interventions, or surgical repair, depending on the severity of the condition and the presence of associated anomalies. Ebstein's anomaly is often associated with other congenital heart defects, such as atrial septal defects and ventricular septal defects, making comprehensive evaluation and management essential.
Detailed history of symptoms, physical examination findings, and results from echocardiograms and other imaging studies.
Pediatric patients presenting with cyanosis, heart murmurs, or arrhythmias requiring further evaluation.
Consideration of growth and development impacts due to the heart defect and associated treatments.
Family history of congenital heart defects, genetic testing results, and counseling notes.
Patients with a family history of congenital anomalies or syndromic presentations requiring genetic evaluation.
Understanding the genetic syndromes associated with Ebstein's anomaly, such as Wolff-Parkinson-White syndrome.
Used when surgical intervention is performed to correct the defect.
Operative report detailing the procedure and findings.
Pediatric cardiology may have specific protocols for documenting surgical outcomes.
The primary treatment for Ebstein's anomaly may involve medical management for symptoms, but surgical intervention is often necessary for severe cases to repair the tricuspid valve and restore normal heart function.
