| Surgical treatment for neonatal Ebstein's anomaly with circular shunting. | |
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MedLine Citation:
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PMID: 22374289 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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We report a case of surgical treatment for neonatal Ebstein's anomaly with circular shunting. A prenatal diagnosis of Ebstein's anomaly was made at 30 weeks of gestation. In addition to severe tricuspid regurgitation, severe pulmonary regurgitation was also noted, resulting in a 'circular shunt'. At 38 weeks and 2 days of gestation, the baby was delivered by Caesarean section. A two-stage palliative operation was planned. As the first palliation, the pulmonary artery was ligated 1 h after birth to eliminate the circular shunt. Lipo-prostaglandin E(1) was administrated continuously to keep the ductus arteriosus patent. Four days after first operation, modified Starnes operation was performed as the second-stage palliation. The tricuspid valve was closed by an ePTFE patch with 3-mm fenestration. Pulmonary blood flow was supplied by a right modified Blalock-Taussig shunt with a 3.5-mm diameter ePTFE graft. The infant's postoperative haemodynamic status was stable. The patient is being followed up carefully and is scheduled to have a univentricular repair in the future. |
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Authors:
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Yohsuke Yanase; Manabu Watanabe; Natsuya Ishikawa; Tetsuya Higami |
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Publication Detail:
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Type: Case Reports; Journal Article Date: 2012-02-27 |
Journal Detail:
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Title: Interactive cardiovascular and thoracic surgery Volume: 14 ISSN: 1569-9285 ISO Abbreviation: Interact Cardiovasc Thorac Surg Publication Date: 2012 Jun |
Date Detail:
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Created Date: 2012-05-16 Completed Date: 2012-09-07 Revised Date: 2013-06-05 |
Medline Journal Info:
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Nlm Unique ID: 101158399 Medline TA: Interact Cardiovasc Thorac Surg Country: England |
Other Details:
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Languages: eng Pagination: 886-8 Citation Subset: IM |
Affiliation:
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Department of Cardiovascular Surgery, Hokkaido Medical Center for Child Health and Rehabilitation, Sapporo, Hokkaido, Japan. yanasey@sapmed.ac.jp |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Alprostadil
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administration & dosage Blalock-Taussig Procedure Blood Vessel Prosthesis Implantation Cardiac Surgical Procedures* Ebstein Anomaly / complications, diagnosis, physiopathology, surgery* Gestational Age Hemodynamics Humans Infant, Newborn Ligation Palliative Care Pulmonary Artery / physiopathology, surgery Pulmonary Circulation* Pulmonary Valve Insufficiency / etiology, physiopathology, surgery Treatment Outcome Tricuspid Valve Insufficiency / etiology, physiopathology, surgery Vasodilator Agents / administration & dosage |
| Chemical | |
Reg. No./Substance:
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0/Vasodilator Agents; 745-65-3/Alprostadil |
| Comments/Corrections | |
Comment In:
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Interact Cardiovasc Thorac Surg. 2012 Jun;14(6):888
[PMID:
22589355
]
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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