Ventricularization of the atrialized chamber: a concept of Ebstein's anomaly repair

The Annals of Thoracic Surgery
Michael V UllmannSiegfried Hagl

Abstract

We report results of a technique of Ebstein's anomaly repair by creating a predominantly monocuspid valve with simultaneous ventricularization of the atrialized right ventricular (aRV) chamber. Between March 1993 and April 2003, Ebstein's anomaly repair by valvuloplasty with combined ventricularization was performed in 23 patients aged 13.6 (4.1-52.6) years presenting with tricuspid valve regurgitation (TVR) (I degrees, n = 1; II degrees, n = 3; III degrees, n = 13; IV degrees, n = 6). Valvuloplasty consisted of creating a predominantly monocuspid valve at the level of the anatomical atrioventricular junction resulting in a ventricularization of the atrialized chamber. Postoperatively all survivors were examined regularly with an actual prospective evaluation. One early death (4.4%) occurred and was caused by right heart failure. Follow-up was 4.6 (0.5-10.9) years. Important recurrent atrioventricular valve regurgitation caused by rupture of fixation sutures occurred in 3 patients (13%), necessitating reintervention at 3 (0.03-4) months (revalvuloplasty, n = 2; TV replacement, n = 1). One patient presenting with hypoplastic right ventricle with consecutive right heart failure underwent creation of a total cavopulmonary connecti...Continue Reading

References

Jun 1, 1981·The Thoracic and Cardiovascular Surgeon·P Schmidt-HabelmannF Sebening

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Citations

Oct 17, 2007·General Thoracic and Cardiovascular Surgery·Takeshi KomodaRoland Hetzer
Mar 28, 2006·The Annals of Thoracic Surgery·Sylvain M ChauvaudJean-Louis Hébert
Jun 27, 2006·The Journal of Thoracic and Cardiovascular Surgery·George E SarrisUNKNOWN European Congenital Heart Surgeons Association
Jan 30, 2007·The Annals of Thoracic Surgery·Noyan Timucin OgusMurat Basaran
May 12, 2016·The Journal of Thoracic and Cardiovascular Surgery·Leonardo LibermanBrett R Anderson
Apr 8, 2009·Seminars in Thoracic and Cardiovascular Surgery. Pediatric Cardiac Surgery Annual·Edward L BoveEric J Devaney
Jan 18, 2007·Circulation·Christine H Attenhofer JostGordon K Danielson
May 27, 2017·Journal of Thoracic Imaging·Carlo N De CeccoGorka Bastarrika
May 28, 2014·Journal of Cardiac Surgery·Hien Sinh NguyenTuan Quang Nguyen

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