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Ann Thorac Surg 2007;84:1745-1746. doi:10.1016/j.athoracsur.2007.06.065
© 2007 The Society of Thoracic Surgeons
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Miki Asano
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Case Reports

Reconstruction of the Right Heart in an Elderly Woman With Ebstein’s Anomaly and Severe Heart Failure

Takuya Nakayama, MD, Miki Asano, MD, Kozo Matsumoto, MD, Norikazu Nomura, MD, Takayuki Saito, MD, Akihiro Mizuno, MD, Akira Mishima, MD*

Department of Cardiovascular Surgery, Nagoya City University Graduate School of Medical Sciences, Nagoya, Japan

Accepted for publication June 22, 2007.

* Address correspondence to Dr Mishima, Department of Cardiovascular Surgery, Nagoya City University Graduate School of Medical Sciences, Kawasumi 1, Mizuho-cho, Mizuho-ku, Nagoya, 467-8601, Japan (Email: mishima{at}med.nagoya-cu.ac.jp).

We report the case of a 53-year-old woman with Ebstein’s anomaly and intractable heart failure who had undergone only tricuspid valve replacement 30 years earlier. She was treated conservatively for 1 month; however, she was placed in the New York Heart Association functional class IV. Therefore, we operated on her with the objective of improving her quality of life and cardiac function. One-and-a-half repair and a second tricuspid valve replacement with right ventriculoplasty were quite effective in ameliorating her critical condition.






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