Document Detail

Rapid two-stage Starnes procedure for a symptomatic neonate with Ebstein anomaly.
MedLine Citation:
PMID:  21095378     Owner:  NLM     Status:  MEDLINE    
We present a rapid two-stage Starnes procedure for a seriously symptomatic neonate with the prenatal diagnosis of Ebstein anomaly. At 16 hours after birth, we performed an emergency operation consisting of main pulmonary artery ligation, plication of the right atrial and right ventricular wall, modified Blalock-Taussig shunt, and patent ductus arteriosus ligation, without cardiopulmonary bypass. At age 12 days, we then performed the Starnes procedure using a glutaraldehyde-treated autologous pericardial patch with a 4-mm fenestration to close the tricuspid valve orifice. The infant's postoperative course was excellent. A rapid two-stage Starnes procedure is useful for treating a seriously symptomatic neonate with Ebstein anomaly.
Noriyoshi Kajihara; Toshihide Asou; Yuko Takeda; Yoshimichi Kosaka; Yasuko Onakatomi; Daiki Miyata; Seiyo Yasui
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The Annals of thoracic surgery     Volume:  90     ISSN:  1552-6259     ISO Abbreviation:  Ann. Thorac. Surg.     Publication Date:  2010 Dec 
Date Detail:
Created Date:  2010-11-24     Completed Date:  2011-01-18     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  15030100R     Medline TA:  Ann Thorac Surg     Country:  Netherlands    
Other Details:
Languages:  eng     Pagination:  2073-5     Citation Subset:  AIM; IM    
Copyright Information:
Copyright © 2010 The Society of Thoracic Surgeons. Published by Elsevier Inc. All rights reserved.
Department of Cardiovascular Surgery, Kanagawa Children's Medical Center, Yokohama, Japan.
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MeSH Terms
Cardiac Surgical Procedures / methods*
Ebstein Anomaly / surgery*
Heart Atria / abnormalities,  surgery*
Heart Ventricles / abnormalities,  surgery*
Infant, Newborn
Ligation / methods
Pericardium / transplantation*
Pulmonary Artery / abnormalities,  surgery*
Time Factors
Transplantation, Autologous
Tricuspid Valve / abnormalities,  surgery*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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