The long-term impact of various techniques for tricuspid repair in Ebstein's anomaly

The Journal of Thoracic and Cardiovascular Surgery
Roland HetzerEva Maria Delmo Walter

Abstract

We describe a repertoire of repair techniques according to type of Ebstein's anomaly to correct tricuspid valve (TV) incompetence, and report long-term ventricular function and functional outcomes. Sixty-eight patients (mean age, 26.9 ± 7.3 years) with Ebstein's anomaly (type A, n = 21; type B, n = 23; type C, n = 15; type D, n = 9) underwent correction of TV incompetence under normothermic cardiopulmonary bypass. The atrialized ventricle, TV, and subvalvar apparatus were inspected to analyze the precise morphology and determine which leaflet was the most mobile. Various repair strategies (anterior and/or posterior annulorrhapy, Sebening stitich, double-orifice valve technique, with bidirectional Glenn anastomosis if necessary) were used according to the presenting morphology and applied according to the type of Ebstein's anomaly. In all, the atrialized right ventricle (RV) was incorporated into the contractile RV by partial closure of the natural annulus using the most mobile leaflet for valve competence. The mean duration of follow-up was 13.25 ± 1.3 years (median, 9.34 years; range, 1-24 years). The mean New York Heart Association class improved from 3.4 to 1.3 (P < .001). The mean severity of TV incompetence was reduced fro...Continue Reading

References

Apr 1, 1991·Journal of the American College of Cardiology·D LangR H Anderson
Jun 1, 1981·The Thoracic and Cardiovascular Surgeon·P Schmidt-HabelmannF Sebening
Mar 30, 1999·The Journal of Thoracic and Cardiovascular Surgery·C KreutzerE A Kreutzer
Dec 1, 2001·The Journal of Thoracic and Cardiovascular Surgery·Q Wu, Z Huang
Dec 10, 2008·The American Journal of Cardiology·Morgan L BrownDavid J Driscoll
Sep 5, 2012·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Roland HetzerEva Maria Delmo Walter

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Citations

Feb 7, 2019·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Kevin M VeenAd J J C Bogers
Apr 30, 2017·Circulation Journal : Official Journal of the Japanese Circulation Society·Nydia Ávila-VanzziniPedro Curi-Curi
Oct 20, 2017·Interactive Cardiovascular and Thoracic Surgery·Dongxu LiQi An
Sep 29, 2017·Cardiovascular Research·Odilia I WoudstraVincent M Christoffels
Oct 7, 2020·The Korean Journal of Thoracic and Cardiovascular Surgery·Chang-Ha LeeYong Jin Kim
Jan 24, 2019·The Journal of Thoracic and Cardiovascular Surgery·Ronald K Woods, Viktor Hraska
Dec 7, 2018·The Journal of Thoracic and Cardiovascular Surgery·Eva Maria Delmo WalterRoland Hetzer
Jul 28, 2020·The Journal of Thoracic and Cardiovascular Surgery·Melchior BurriRüdiger Lange

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