| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
|
|
|
|||||||
|
|||||||||
Ann Thorac Surg 2004;77:2167-2171
© 2004 The Society of Thoracic Surgeons
a Division of Cardiac Surgery, Halifax, Nova Scotia, Canada
b Division of Pediatric Cardiology, IWK Health Centre, Dalhousie University, Halifax, Nova Scotia, Canada
c Division of Cardiology, QEII Health Sciences Centre, Halifax, Nova Scotia, Canada
Accepted for publication November 25, 2003.
* Address reprint requests to Dr Hancock Friesen, Suite 2269, New Halifax Infirmary, 1796 Summer St, Halifax NS B3H 3A7, Canada
e-mail: camillehf{at}hotmail.com
BACKGROUND: Nonneonatal Ebstein's anomaly is a rare congenital anomaly for which numerous operative techniques have been described to repair the aberrant tricuspid valve, exclude the atrialized right ventricle, and address right heart dysfunction. We reviewed short-term outcomes in surgical patients treated by a simplified operative technique.
METHODS: Our operative approach to Ebstein's anomaly is approximation of the anteroposterior commissure to the remnant septal leaflet with closure of the cul-de-sac longitudinally. Plication of the atrialized right ventricle (1 patient) and a bidirectional cavopulmonary connection (2 patients) were performed only if necessary. All patients were followed postoperatively by their cardiac surgeon and cardiologist.
RESULTS: Seven patients with a mean age of 39 years (range, 3.6 to 63.8 years) underwent repair. Preoperatively all patients had 4+ tricuspid valve regurgitation and were New York Heart Association class III. Mean postoperative hospital stay was 7 ± 2 days (range, 4 to 11 days). Mean follow-up is 42 ± 18 months (range, 7 to 58 months). At last follow-up 5 patients are New York Heart Association class I and average tricuspid valve regurgitation is mild.
CONCLUSIONS: Plication of the posterior annulus without plication of the atrialized right ventricle, resiting the tricuspid valve, or performing prophylactic cavopulmonary connection appears to be a reasonable operative approach to nonneonatal Ebstein's anomaly. Long-term follow-up of this cohort is necessary to determine the durability of such a surgical approach.
This article has been cited by other articles:
|
|
 |
|
  M. L. Brown, J. A. Dearani, G. K. Danielson, F. Cetta, H. M. Connolly, C. A. Warnes, Z. Li, D. O. Hodge, D. J. Driscoll, and Mayo Clinic Congenital Heart Center The outcomes of operations for 539 patients with Ebstein anomaly. J. Thorac. Cardiovasc. Surg., May 1, 2008; 135(5): 1120 - 1136.e7. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
L. G. Quinonez, J. A. Dearani, F. J. Puga, P. W. O'Leary, D. J. Driscoll, H. M. Connolly, and G. K. Danielson Results of the 1.5-ventricle repair for Ebstein anomaly and the failing right ventricle J. Thorac. Cardiovasc. Surg., May 1, 2007; 133(5): 1303 - 1310. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 C. H. Attenhofer Jost, H. M. Connolly, J. A. Dearani, W. D. Edwards, and G. K. Danielson Ebstein's Anomaly Circulation, January 16, 2007; 115(2): 277 - 285. [Full Text] [PDF]
|
|
|
|
 |
|
 S. M. Chauvaud, A. C. Hernigou, E. R. Mousseaux, D. Sidi, and J.-L. Hebert Ventricular Volumes in Ebstein's Anomaly: X-Ray Multislice Computed Tomography Before and After Repair Ann. Thorac. Surg., April 1, 2006; 81(4): 1443 - 1449. [Abstract] [Full Text] [PDF]
|
|
| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
| ANN THORAC SURG | ASIAN CARDIOVASC THORAC ANN | EUR J CARDIOTHORAC SURG |
| J THORAC CARDIOVASC SURG | ICVTS | ALL CTSNet JOURNALS |
