1995
DOI: 10.1055/s-2007-1013227 View full text |Buy / Rent full text
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Abstract: In young patients with Ebstein's anomaly and symptoms of congestive heart failure or severe cyanosis tricuspid valve repair may be unsuccessful and prosthetic valve replacement is needed, which is associated with a high operative mortality. This report describes the implantation of a valved aortic homograft as a conduit between right atrium and pulmonary artery to at least postpone valve surgery in three symptomatic children (4.1, 8.3, and 10 years of age) with an arterial oxygen saturation of 75 to 82%. The i… Show more

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“…11,22,23 Furthermore, in many series there are scattered references to a few severe cases (type D) that required a univentricular approach, in addition to the symptomatic neonates who are converted to a univentricular circulation early in life by a Starnes operation 24 and are therefore subsequently tracked toward Fontan palliation. [24][25][26][27][28] Finally, valve replacement (without atrialized RV plication) continues to appear in various reports as a good option for many nonpediatric patients and also seems to be associated with good long-term results. 29,30 Given the preference, supported by excellent reported results, of some well-known centers toward one or another of the many available types of surgical procedure for Ebstein anomaly, and also that most centers' experience with this condition is limited to a small number of patients accumulated over decades, we sought to analyze the collective experience of participating institutions of the ECHSA with the full spectrum of types and results of surgery for Ebstein anomaly in Europe in the current era.…”
Section: Abbr Eviations and Acronymsmentioning
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“…11,22,23 Furthermore, in many series there are scattered references to a few severe cases (type D) that required a univentricular approach, in addition to the symptomatic neonates who are converted to a univentricular circulation early in life by a Starnes operation 24 and are therefore subsequently tracked toward Fontan palliation. [24][25][26][27][28] Finally, valve replacement (without atrialized RV plication) continues to appear in various reports as a good option for many nonpediatric patients and also seems to be associated with good long-term results. 29,30 Given the preference, supported by excellent reported results, of some well-known centers toward one or another of the many available types of surgical procedure for Ebstein anomaly, and also that most centers' experience with this condition is limited to a small number of patients accumulated over decades, we sought to analyze the collective experience of participating institutions of the ECHSA with the full spectrum of types and results of surgery for Ebstein anomaly in Europe in the current era.…”
Section: Abbr Eviations and Acronymsmentioning
“…In Ebstein's anomaly, plastic reconstruction may be difficult or unsuccessful in some patients. Prosthetic tricuspid valve replacement is associated with a high operative mortality in infants 7,11 . When the right ventricle is too hypoplastic to support a biventricular circulation, 1 or the tricuspid valves cannot be reconstructed 7 a Fontan procedure is indicated.…”
Section: Discussionmentioning