PMID: 9647095Jul 1, 1998Paper

Tricuspid annuloplasty and ventricular plication for Ebstein's malformation

The Annals of Thoracic Surgery
F J VargasJ C Vazquez

Abstract

Seven patients with the diagnosis of Ebstein's malformation of the tricuspid valve were operated on. Mean age was 12 years (range, 7 to 16 years). All were cyanotic, with severe tricuspid regurgitation. Thromboembolism was not present. No associated cardiac malformations were present. Surgical repair included tricuspid annuloplasty associated with longitudinal plication of the atrialized portion of the right ventricle. This was attained by approximating the anterior-posterior commissure with either the posterior-septal commissure or the septal leaflet remnant. The thin atrialized ventricular wall thus excluded remained as a cul du sac and was plicated by suturing along the longitudinal axis of the heart. When present, the dysplastic posterior leaflet was included in the plication. In essence, a monocuspid right atrioventricular valve was fashioned out of the anterior leaflet. The remaining septal leaflet played a minimal functional role. No additional procedures for treatment of arrhythmia were associated with the technique described. The postoperative course was uneventful in all patients. Mean follow-up is 4.3 years (range, 1 to 10 years). Doppler echocardiographic studies reveal satisfactory monocusp valve function in all pa...Continue Reading

Citations

Apr 19, 2000·The Japanese Journal of Thoracic and Cardiovascular Surgery : Official Publication of the Japanese Association for Thoracic Surgery = Nihon Kyōbu Geka Gakkai Zasshi·M YamagishiN Kitamura
Oct 23, 2009·Current Treatment Options in Cardiovascular Medicine·Morgan L Brown, Joseph A Dearani
Feb 5, 2004·The Annals of Thoracic Surgery·Qingyu Wu, Zhixiong Huang
Apr 16, 2003·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·S ChauvaudA Carpentier
Feb 3, 2000·The New England Journal of Medicine·M E BricknerR A Lange
Jan 1, 2008·Multimedia Manual of Cardiothoracic Surgery : MMCTS·Sylvain Chauvaud, Alain Carpentier
Jun 27, 2006·The Journal of Thoracic and Cardiovascular Surgery·George E SarrisUNKNOWN European Congenital Heart Surgeons Association
Nov 21, 2007·The Journal of Thoracic and Cardiovascular Surgery·Qingyu WuHui Xue
Sep 6, 2020·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Giulio CabrelleMassimo A Padalino
Nov 30, 2000·Current Treatment Options in Cardiovascular Medicine·A K YounoszaiN H Silverman

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