Ebstein's Anomaly Surgical Approach and Mid-term Results

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Tarih
2018-01-01
Yazarlar
Arnaz, Ahmet
Dogan, Abdullah
Oktay, Ayla
Yalcinbas, Yusuf
Turkoz, Riza
Saygili, Arda
Sarioglu, Ayse
Sarioglu, Tayyar
Süreli Yayın başlığı
Süreli Yayın ISSN
Cilt Başlığı
Yayınevi
GAZI UNIV, FAC MED
Dergi Adı
GAZI MEDICAL JOURNAL
Özet
Objectives: In this study, it is aimed to evaluate the operations performed for Ebstein `s anomaly retrospectively. Study design: Between July 2003 and February 2018, the medical records of 13 patients who were operated on with the diagnosis of Ebstein's anomaly were reviewed retrospectively according to the clinical symptoms, surgical procedure, and postoperative follow-up. Results: Of the thirteen patients, 46.2\% (n = 6) were female and 53.8\% (n = 7) were male. The mean age of the cases is 13,15 +/- 11,07 years (2-31 years). Preoperative echocardiographic evaluations revealed severe tricuspid regurgitation in 92.3\% (n = 12) of the patients. In these patients, tricuspid valve replacement was performed in 4, tricuspid valve plasty in 5, Cone reconstruction in 2, and cava-pulmonary shunt with tricuspid valve plasty in 2 were performed. Patients were followed for an average of 6.31 +/- 3.40 (1-14 years). Atrial septal defect closure in 53.8\% (n = 7) patients and mitral valve replacement in 7.7\% (n = 1) patients were performed due to additional anomalies. Atrial fibrillation/flutter was present in 23.1\% of the patients and ablation procedure was applied to these three patients. Conclusion: Long-term clinical follow-up is required for the signs and symptoms of heart failure, arrhythmia, cyanosis and other related findings both in operated and non-operated patients with Ebstein's anomaly.
Açıklama
Anahtar kelimeler
Ebstein's anomaly, cone reconstruction, tricuspid valve repair, tricuspid valve replacement, tricuspid valve insufficiency, congenital heart defects
Alıntı
Koleksiyonlar