TY - JOUR
T1 - Modified cone reconstruction of the tricuspid valve for ebstein anomaly as performed in Siberia
AU - Krivoshchekov, Evgeny V.
AU - Ackerman, Jaeger P.
AU - Yanulevich, Olga S.
AU - Sokolov, Alexander A.
AU - Ershova, Nadezhda V.
AU - Dearani, Joseph A.
AU - Cetta, Frank
N1 - Publisher Copyright:
© 2017 by the Texas Heart ® Institute, Houston.
PY - 2017/2
Y1 - 2017/2
N2 - The cone reconstruction technique, first described by da Silva and modified by Dearani and by others, has become the repair method of choice in patients with Ebstein anomaly of the tricuspid valve. This report details the outcome of the modified cone reconstruction technique in 6 children who underwent surgical correction of Ebstein anomaly at the Tomsk Institute of Cardiology in Siberia. From 2012 through 2015, 4 boys and 2 girls (age range, 11 mo–12 yr) underwent surgery to correct Ebstein anomaly. All had presented with cyanosis, exertional dyspnea, fatigue, or new-onset atrial arrhythmia, and none had undergone previous cardiac surgery. All survived the operation. One patient needed tricuspid valve replacement with a bioprosthesis after early breakdown of the cone reconstruction. As of December 2016, all the patients had no symptoms, tricuspid stenosis, or arrhythmia. This series indicates that cone reconstruction—the most anatomic repair technique for the dysmorphic Ebstein tricuspid valve—can be successfully performed in pediatric heart centers with a large experience.
AB - The cone reconstruction technique, first described by da Silva and modified by Dearani and by others, has become the repair method of choice in patients with Ebstein anomaly of the tricuspid valve. This report details the outcome of the modified cone reconstruction technique in 6 children who underwent surgical correction of Ebstein anomaly at the Tomsk Institute of Cardiology in Siberia. From 2012 through 2015, 4 boys and 2 girls (age range, 11 mo–12 yr) underwent surgery to correct Ebstein anomaly. All had presented with cyanosis, exertional dyspnea, fatigue, or new-onset atrial arrhythmia, and none had undergone previous cardiac surgery. All survived the operation. One patient needed tricuspid valve replacement with a bioprosthesis after early breakdown of the cone reconstruction. As of December 2016, all the patients had no symptoms, tricuspid stenosis, or arrhythmia. This series indicates that cone reconstruction—the most anatomic repair technique for the dysmorphic Ebstein tricuspid valve—can be successfully performed in pediatric heart centers with a large experience.
KW - Cardiac surgical procedures/methods
KW - Ebstein anomaly/surgery
KW - Reconstructive surgical procedures/methods
KW - Recovery of function
KW - Reproducibility of results
KW - Treatment outcome
KW - Tricuspid valve insufficiency/etiology/surgery
KW - Tricuspid valve/abnormalities/surgery
UR - http://www.scopus.com/inward/record.url?scp=85013433888&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85013433888&partnerID=8YFLogxK
U2 - 10.14503/THIJ-16-5832
DO - 10.14503/THIJ-16-5832
M3 - Article
C2 - 28265211
AN - SCOPUS:85013433888
SN - 0730-2347
VL - 44
SP - 39
EP - 42
JO - Texas Heart Institute Journal
JF - Texas Heart Institute Journal
IS - 1
ER -