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Ann Thorac Surg 2007;83:678-680
© 2007 The Society of Thoracic Surgeons

Case Reports

Modified Technique for the Surgical Treatment of Severe Tricuspid Valve Deformity in Ebstein’s Anomaly

David P.V. Bichell, MDa,*, Bassem N. Mora, MDa, James W. Mathewson, MDb, Stanley K. Kirkpatrick, MDb, Jeffrey J. Tyner, MDc, Terri McLees-Palinkas, MSb

a Department of Surgery, Section of Cardiac and Thoracic Surgery, University of Chicago, Chicago, Illinois
b Division of Cardiology, Children’s Hospital, San Diego, San Diego, California
c Scripps Clinic & Foundation, La Jolla, California

Accepted for publication July 10, 2006.

* Address correspondence to Dr Bichell, University of Chicago, Section of Cardiac and Thoracic Surgery, 5841 S Maryland Ave, MC 5040, Chicago, IL 60637. (Email: dbichell{at}uchicago.edu).

Distortion of septal and atrial anatomy in Ebstein’s anomaly places the atrioventricular node and His bundle at risk for injury at operation. We present a novel technique for creating a robust neo-annulus, remote from conduction tissue, adding to the armamentarium of techniques available for the reconstruction or replacement of the tricuspid valve. Three cases are described. All the patients were in sinus rhythm, with competent native or bioprosthetic valves, at short-term follow-up.






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