Document Detail


Ebstein's anomaly: late results of surgical correction.
MedLine Citation:
PMID:  759187     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
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.
Authors:
R Ng; J Somerville; D Ross
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  European journal of cardiology     Volume:  9     ISSN:  0301-4711     ISO Abbreviation:  Eur J Cardiol     Publication Date:  1979 Jan 
Date Detail:
Created Date:  1979-03-13     Completed Date:  1979-03-13     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  0404054     Medline TA:  Eur J Cardiol     Country:  NETHERLANDS    
Other Details:
Languages:  eng     Pagination:  39-52     Citation Subset:  IM    
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MeSH Terms
Descriptor/Qualifier:
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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