A modified repair technique for tricuspid incompetence in Ebstein's anomaly

Hetzer, Roland; Nagdyman, Nicole; Ewert, Peter; Weng, Y.; Alexi-Meskhisvili, Valdimir; Berger, Felix; Pašić, Miralem; Lange, Peter

doi:10.1016/s0022-5223(98)70367-8

Cited by 74 publications

(41 citation statements)

References 15 publications

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“…Hetzer et al 13 published a new technique for tricuspid valve plasty, which places the valve mechanism at the level of the true AV annulus with the use of leaflets with greater mobility without plication of the atrialized RV chamber, thus excluding the leaflets with anomalous insertion, creating one or two valve orifices. This technique, which must be adapted to each case, requires a significant amount of mobile anterior leaflet, which limits its use to cases of more favorable anatomy.…”

Section: Discussionmentioning

confidence: 99%

A técnica do cone para correção da anomalia de Ebstein: resultados imediatos e em longo prazo

Silva

Silva²,

Moreira

et al. 2011

Arq. Bras. Cardiol.

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Section: Discussionmentioning

confidence: 99%

A técnica do cone para correção da anomalia de Ebstein: resultados imediatos e em longo prazo

Silva

Silva²,

Moreira

et al. 2011

Arq. Bras. Cardiol.

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“…The intensifying insufficiency is in a great measure associated with asymmetric, turbulent blood inflow to RV through the new atrioventricular ostium. Reports were published that stressed the necessity of forming the second TV cusp to achieve normal coaptation and function of the valve (20,(30)(31)(32).…”

Section: Surgical Treatmentmentioning

confidence: 99%

Ebstein Anomaly

Pajak

2013

Journal of Rare Cardiovascular Diseases

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Ebstein anomaly (EA) is a rare congenital malformation of the heart that is characterized by apical displacement of the septal and posterior tricuspid valve leaflets, with atrialization of the right ventricle and variable degree of malformation and displacement of the anterior leaflet. Patients can have a variety of symptoms related to the anatomic abnormalities of EA and their hemodynamic effects or associated structural and conduction system disease. Most frequently cyanosis, palpitations, fatigue and dyspnea can be observed. In severe forms edema and ascites. Treatment of EA is complex and depends of the severity of the disease itself and the effect of accompanying congenital structural and electrical abnormalities. Options of treatment include medical therapy, radiofrequency ablation, and surgical therapy. Main aim of the surgical therapy is to correct the underlying tricuspid valve, right ventricular abnormalities and any associated intracardiac defects if exist. Palliative procedures and cardiac transplantation can be considered in most sever EA patients. JRCD 2013; 1 (4): 139-143

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“…TVD, also called Ebstein' anomaly in humans, is characterized by different features: adherence of the tricuspid leaflets to the myocardium, downward displacement of the tricuspid annulus, dilation of the uppermost part of the right ventricle, redundancy and fenestrations of the anterior leaflet of tricuspid valve and dilation of the tricuspid annulus (Dearani et al, 2003;, Yuan et al, 2003;Andelfinger et al, 2003). Usually, the septal leaflet is displaced toward the apex and the anterior leaflet, the biggest in normal condition has a "sail like" appearance and is correctly positioned (Hetzer et al, 1998).…”

Section: Introductionmentioning

confidence: 99%

First Description of Tricuspid Valve Dysplasia in a Basset Hound

Scurtu¹

2018

BUASVMCN-VM

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This report represents the first description of tricuspid valve dysplasia in a Basset hound. We evaluated clinical signs, ECG abnormalities and echocardiographic findings related to tricuspid valve dysplasia in a 6 month Basset Hound. A specific protocol of cardiologic examination was performed every time the patient was evaluated. This protocol included: clinical exam, ECG and echocardiographic investigation. The clinical examination identified over the entire period of surveillance a dog with good body condition score (2.5-3/5), alert, bright, being able to take moderate exercise. A 4/6 left heart base systolic murmur was identified at every examination. ECG revealed a sinus rhythm. Echocardiography identified right heart abnormality, with malposition of tricuspid annulus, one leaflet being short and thick and other extremely long with abnormal motion. Due to abnormal morphology of tricuspid valve apparatus a tricuspid regurgitant jet was noted with Color Doppler. The left heart seemed to have normal morphology. An atrial septal defect was also noticed. Further studies need be performed in order to establish if tricuspid valve dysplasia in Basset hound is a congenital or genetic defect.

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A modified repair technique for tricuspid incompetence in Ebstein's anomaly

Abstract: Our technique allows tricuspid valve repair in patients with Ebstein's anomaly, even in cases usually reserved for primary valve replacement, without late functional deterioration.

Cited by 74 publications

References 15 publications

A técnica do cone para correção da anomalia de Ebstein: resultados imediatos e em longo prazo

A técnica do cone para correção da anomalia de Ebstein: resultados imediatos e em longo prazo

Ebstein Anomaly

First Description of Tricuspid Valve Dysplasia in a Basset Hound

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