Abstract | OBJECTIVE: We sought to review our institutional experience and midterm results with cone reconstruction in Ebstein anomaly with or without one and a half ventricle repair to evaluate these 2 important surgical methods for the treatment of Ebstein anomaly. METHODS: From January 1, 2004, to October 1, 2009, 30 consecutive patients with Ebstein anomaly underwent cone reconstruction. All patients underwent cone reconstruction, and 20 patients with severe Ebstein anomaly had a bidirectional cavopulmonary shunt constructed. The median age was 60 months (range, 2-192 months). Our criteria to define severe Ebstein anomaly include a severely enlarged right-sided chamber, significant abnormality of the septal leaflet of the tricuspid valve, and hemodynamic instability after cardiopulmonary bypass. Clinical or echocardiographic characteristics were studied both preoperatively and postoperatively. RESULTS: CONCLUSIONS:
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Authors | Jinfen Liu, Lisheng Qiu, Zhongqun Zhu, Huiwen Chen, Haifa Hong |
Journal | The Journal of thoracic and cardiovascular surgery
(J Thorac Cardiovasc Surg)
Vol. 141
Issue 5
Pg. 1178-83
(May 2011)
ISSN: 1097-685X [Electronic] United States |
PMID | 21320712
(Publication Type: Comparative Study, Journal Article)
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Copyright | Copyright © 2011 The American Association for Thoracic Surgery. Published by Mosby, Inc. All rights reserved. |
Topics |
- Adolescent
- Cardiac Surgical Procedures
(adverse effects, mortality)
- Child
- Child, Preschool
- China
- Ebstein Anomaly
(diagnostic imaging, mortality, physiopathology, surgery)
- Fontan Procedure
- Heart Ventricles
(diagnostic imaging, physiopathology, surgery)
- Hemodynamics
- Hospital Mortality
- Humans
- Infant
- Infant, Newborn
- Patient Selection
- Risk Assessment
- Risk Factors
- Severity of Illness Index
- Time Factors
- Treatment Outcome
- Tricuspid Valve
(abnormalities, diagnostic imaging, physiopathology, surgery)
- Ultrasonography
- Ventricular Dysfunction, Right
(etiology)
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