| Ebstein's anomaly: late results of surgical correction. | |
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MedLine Citation:
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PMID: 759187 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Between 1969 and 1976, 10 severely disabled patients with Ebstein's anomaly were operated on at the National Heart Hospital using replacement of the tricuspid valve with mounted aortic homografts [9] or dura mater valve [1], plication of the atrialized right ventricle [10], and closure of an associated interatrail communication. 7 survivors have been followed up from 2 to 9 yr. 5 are asymptomatic. Symptomatic tricuspid regurgitation developed in 2 patients; from a paravalvar leak of the tricuspid homograft in one, and in the other calcification with stenosis in an irradiated homograft, 2.5 and 7.5 yr later. Permanent pacemakers were needed in 2 patients, 3 wk and 18 mth after surgery for symptomatic heart block. Despite corrective surgery for the structural abnormalities in Ebstein, late results remain influenced by disorders of rhythm and conduction disturbances, degenerative changes in the valves used for replacement and the intrinsic primary myocardial disease. Such "corrective" procedures in patients with Ebstein's anomaly can result in maintained symptomatic improvement but must be regarded as palliative surgery. |
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Authors:
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R Ng; J Somerville; D Ross |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: European journal of cardiology Volume: 9 ISSN: 0301-4711 ISO Abbreviation: Eur J Cardiol Publication Date: 1979 Jan |
Date Detail:
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Created Date: 1979-03-13 Completed Date: 1979-03-13 Revised Date: 2007-11-15 |
Medline Journal Info:
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Nlm Unique ID: 0404054 Medline TA: Eur J Cardiol Country: NETHERLANDS |
Other Details:
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Languages: eng Pagination: 39-52 Citation Subset: IM |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Adult Aortic Valve / transplantation Arrhythmias, Cardiac / complications Child Child, Preschool Dura Mater / transplantation Ebstein Anomaly / complications, surgery* Echocardiography Female Follow-Up Studies Heart Septal Defects, Atrial / surgery Heart Valve Prosthesis* Heart Ventricles / surgery Humans Infant, Newborn Male Pacemaker, Artificial Postoperative Complications Transplantation, Homologous Tricuspid Valve / surgery* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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