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The Journal of Thoracic and Cardiovascular Surgery, Vol 96, 92-101, Copyright © 1988 by The American Association for Thoracic Surgery and The Western Thoracic Surgical Association
A Carpentier, S Chauvaud, L Mace, J Relland, S Mihaileanu, JP Marino, B Abry and P Guibourt
Ebstein's anomaly is a complex malformation involving the tricuspid valve
and the right ventricle. Various surgical techniques, either repair or
replacement of the abnormal tricuspid valve, have been used with variable
results. In an attempt to enlarge the indications of conservative
procedures, we developed a technique of repair that comprises the
reconstruction of a normally shaped right ventricle and the repositioning
of the tricuspid valve at the normal level. In a series of 14 patients
operated on between January 1980 and December 1986 in our institution, only
one patient with an associated atrioventricular septal defect required a
tricuspid valve replacement. All of the other patients, regardless of the
complexity of the tricuspid malformation, were able to benefit from this
conservative technique. There were two hospital deaths and no late deaths
in this series. All surviving patients displayed a marked improvement over
their preoperative status with regard to functional class (92% are in class
I or II) and rhythm disturbances. Echocardiographic and Doppler studies
demonstrated a normal shape of the right ventricle and good tricuspid valve
function in all the patients but one.
ARTICLES
A new reconstructive operation for Ebstein's anomaly of the tricuspid valve
Department of Thoracic and Cardiovascular Surgery, Hospital Broussais, University of Paris, France.
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