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Ann Thorac Surg 1981;31:277-280
© 1981 The Society of Thoracic Surgeons

Articles

Ebstein's Anomaly: Surgical Treatment with Tricuspid Replacement Without Right Ventricular Plication

José M. Caralps, M.D.*, Alejandro Aris, M.D., José O. Bonnin, M.D., Heriberto Solanes, M.D., Miguel Torner, M.D.

Cardiac Surgery Unit, Hospital de la Santa Cruz y San Pablo, Barcelona, Spain

Accepted for publication March 24, 1980.

* Address reprint requests to Dr. Caralps, Maestro Falla, 31, Barcelona, 34, Spain

Two patients with Ebstein's anomaly and severe cardiac impairment underwent surgical repair with tricuspid valve replacement and closure of associated congenital septal defects. No attempt was made to plicate the atrialized right ventricle. Good cardiac function was obtained at the end of the procedure, with uniform contractions of the whole right ventricle. Both patients are leading normal and active lives 38 and 32 months after operation.

We believe that successful repair is achieved chiefly by placing a competent tricuspid valve on its true anatomical position, leaving the underlying atrialized portion of the ventricular wall undisturbed. That portion will contract and work synchronously with the rest of the right ventricle.






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Copyright © 1981 by The Society of Thoracic Surgeons.