JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES) ›› 2009, Vol. 47 ›› Issue (12): 99-101.

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Clinical anatomy and surgical treatment of Ebstein′s anomaly

LI Jindong, WANG Anbiao,ZHANG Haizhou, ZHANG Wenlong, WANG Zhengjun,  ZI Jie,  FAN Quanxin   

  1. Department of Cardiac Surgery, Shandong Provincial Hospital Affiliated to Shandong University, Jinan 250021, China
  • Received:2009-05-09 Online:2009-12-16 Published:2009-12-16

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Abstract:

To summarize the clinical anatomic features and surgical treatment results of Ebstein′s anomaly. Methods25 patients with Ebstein′s anomaly were operated on from June 2005 to January 2009. There were 8 type Ⅰ cases, 12 typeⅡ cases, and 5 type Ⅲ  cases. The typeⅠgroup received tricuspid valve plasty(Devega tricuspid annuloplasty). In the typeⅡgroup, 9 cases received atrialized ventricle plication and tricuspid valve plasty, 2 cases tricuspid valve replacement,and 1 case tricuspid valve plasty and Gleen. The type Ⅲ group received tricuspid valve replacement. ResultsThere were no operative deaths. Low cardiac output occurred in 2 patients after the operation, but they quickly recovered after proper treatment. 15 patients were followed up from 4 months to 2 years, and all had echocardiography. There was no reflow of the tricuspid valve in 12 patients and light reflow in 3 patients. 10 patients were in NYHA Class Ⅰ.5 patients were in NHYA Class Ⅱ. ConclusionAccurate preoperative diagnosis and full understanding of pathophysiology and clinical anatomy are the keys for appropriate surgical treatment.

Key words: Ebstein′s anomaly; Tricuspid valve plasty; Atrialized ventricle; Clinical anatomyEbstein

CLC Number: 

  • R654.2
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