Experience with eight cases admitted to the University of Minnesota Medical Center for surgical treatment of Ebstein's anomaly is presented. Correction by excision of the malformed and malpositioned tricuspid valve with prosthetic valve replacement is advocated as the procedure of choice. Some patients probably need a temporary avenue for right-to-left shunting at the atrial level until the atrialized right ventricle can achieve competence. None of the three patients with significant arrhythmias preoperatively has experienced this difficulty to date, after valve replacement.
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