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Mikio Ohmi
Takashi Tanaka
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Ann Thorac Surg 1998;65:540
© 1998 The Society of Thoracic Surgeons


Case Reports

Tricuspid Valve Closure for Neonatal Ebstein’s Anomaly

Masato Endo, MD, Mikio Ohmi, MD, Kaori Sato, MD, Takashi Tanaka, MD, Hideyuki Kakizawa, MD, Koichi Tabayashi, MD

Department of Thoracic and Cardiovascular Surgery, Tohoku University School of Medicine, Sendai, Japan
Department of Pediatrics, Tohoku University School of Medicine, Sendai, Japan

Accepted for publication September 13, 1997.

Dr Endo, Department of Thoracic and Cardiovascular Surgery, Tohoku University School of Medicine, 1-1 Seiryo-machi, Aoba-ku, Sendai 980-77, Japan.

A respirator-dependent 11-day-old boy with Ebstein’s anomaly is presented. His cardiac anomaly with progressive cardiomegaly was first noticed at 24 weeks’ gestation on fetal echocardiography. After birth, he required mechanical ventilation because of massive tricuspid regurgitation and restricted pulmonary blood flow. The operation of tricuspid valve patch closure, resection of right atrial wall, and central shunt successfully weaned him from the respirator on postoperative day 13. Cavopulmonary anastomosis was performed without problem when the patient was 8 months of age.




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