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Ann Thorac Surg 2007;83:304-306
© 2007 The Society of Thoracic Surgeons

Case Reports

Ebstein’s Anomaly of the Tricuspid Valve in Combination of Tetralogy of Fallot: Total Correction in Infancy

Chao-Han Lai, MDa, Jing-Ming Wu, MDb, Yu-Jen Yang, MD, PhDa,*

a Division of Cardiovascular Surgery, Department of Surgery, National Cheng Kung University Hospital, Tainan, Taiwan
b Department of Pediatrics, National Cheng Kung University Hospital, and Cardiovascular Research Center, Medical College, National Chen Kung University, Tainan, Taiwan

Accepted for publication April 24, 2006.

* Address correspondence to Dr Yang, Department of Surgery, National Cheng Kung University Hospital, National Cheng Kung University, 138, Sheng-Li Rd, Tainan 704, Taiwan (Email: yyji5483130{at}yahoo.com.tw).

Ebstein’s anomaly of the tricuspid valve in combination with Tetralogy of Fallot is extremely rare. We report a patient with these combined entities in a baby presented with cyanosis and right heart failure soon after birth. Total correction toward biventricular repair was successfully conducted when he was 7 months old. For management of a patient with such rare complex anomalies, we recommend Carpentier’s technique for Ebstein’s anomaly to restore the morphology of the right ventricle, and "one and half ventricle repair" can be a salvage procedure if the right ventricle is not functionally tolerant.






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