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Ann Thorac Surg 2002;74:916-917
© 2002 The Society of Thoracic Surgeons

Case report

Modified Starnes operation for neonatal Ebstein’s anomaly

Manabu Watanabe, MD*a, Yorikazu Harada, MD, PhDa, Takamasa Takeuchi, MD, PhDa, Gengi Satomi, MD, PhDa, Satoshi Yasukouchi, MD, PhDa

a Department of Cardiovascular Surgery and Pediatric Cardiology, Nagano Children’s Hospital, Nagano, Japan

Accepted for publication May 1, 2002.

* Address reprint requests to Dr Watanabe, Department of Cardiovascular Surgery, Chiba Children’s Hospital, 579-1 Heta-cho, Midori-ku, Chiba-city, Chiba-ken, Japan
e-mail: dookuman{at}beige.ocn.ne.jp

We report the case of a severely symptomatic neonate with Ebstein’s anomaly. A modified Starnes operation was performed, but insufficient drainage of venous blood returning through thebesian veins caused overdistention of the right ventricle and severe left ventricular dysfunction. Urgent reestablishment of right ventricular-right atrial communication successfully resolved these problems.






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