PMID- 29049811
OWN - NLM
STAT- MEDLINE
DCOM- 20190109
LR  - 20190109
IS  - 1569-9285 (Electronic)
IS  - 1569-9285 (Linking)
VI  - 26
IP  - 2
DP  - 2018 Feb 1
TI  - Effect of cone reconstruction on right ventricular function in patients with 
      Ebstein's anomaly: a meta-analysis.
PG  - 301-306
LID - 10.1093/icvts/ivx312 [doi]
AB  - OBJECTIVES: Cone reconstruction (CR) is a novel technique for surgically treating 
      the tricuspid valve and right ventricle (RV) in patients with Ebstein's anomaly. 
      However, precise changes in the RV function after CR remain unclear. This study 
      aimed to evaluate the RV size and New York Heart Association (NYHA) functional 
      class by conducting a meta-analysis of reported data. METHODS: The MEDLINE, 
      EMBASE, Cochrane Library and China National Knowledge Infrastructure databases 
      were searched for relevant studies. The variables were RV measurements, NYHA 
      functional classes and tricuspid valve regurgitation grades. A fixed/random 
      effects model was used to summarize the estimates of mean difference with 
      standard error. Sensitivity analysis was conducted to ascertain the primary 
      origin of the heterogeneity. RESULTS: Nine studies that involved 210 patients 
      were included. The results demonstrated that after CR, the functional RV volume 
      significantly decreased, NYHA functional class improved and tricuspid valve 
      regurgitation grade decreased. CONCLUSIONS: Thus, CR appeared to be a positive 
      approach for Ebstein's anomaly, with good results being obtained for the RV size 
      and NYHA functional class. Because some limitations could not be overcome, 
      studies with more data on RV and longer follow-ups are required to confirm our 
      study results.
CI  - (c) The Author 2017. Published by Oxford University Press on behalf of the European 
      Association for Cardio-Thoracic Surgery. All rights reserved.
FAU - Li, Dongxu
AU  - Li D
AD  - Department of Cardiovascular Surgery, West China Hospital, Sichuan University, 
      Sichuan, China.
AD  - Department of Cardiac Surgery, The University of Tokyo, Tokyo, Japan.
FAU - Hirata, Yasutaka
AU  - Hirata Y
AD  - Department of Cardiac Surgery, The University of Tokyo, Tokyo, Japan.
FAU - Zhou, Xu
AU  - Zhou X
AD  - Evidence-Based Medicine Research Center, School of Basic Medical Sciences, 
      Jiangxi University of Traditional Chinese Medicine, Jiangxi, China.
FAU - Masuzawa, Akihiro
AU  - Masuzawa A
AD  - Department of Cardiac Surgery, The University of Tokyo, Tokyo, Japan.
FAU - Ono, Minoru
AU  - Ono M
AD  - Department of Cardiac Surgery, The University of Tokyo, Tokyo, Japan.
FAU - An, Qi
AU  - An Q
AD  - Department of Cardiovascular Surgery, West China Hospital, Sichuan University, 
      Sichuan, China.
LA  - eng
PT  - Journal Article
PT  - Meta-Analysis
PT  - Research Support, Non-U.S. Gov't
PT  - Systematic Review
PL  - England
TA  - Interact Cardiovasc Thorac Surg
JT  - Interactive cardiovascular and thoracic surgery
JID - 101158399
SB  - IM
MH  - Cardiac Surgical Procedures/*methods
MH  - Ebstein Anomaly/*diagnosis/physiopathology/surgery
MH  - Echocardiography
MH  - Heart Ventricles/diagnostic imaging/*physiopathology
MH  - Humans
MH  - Tricuspid Valve/diagnostic imaging/*surgery
MH  - Tricuspid Valve Insufficiency/diagnosis/physiopathology/*surgery
MH  - Ventricular Function, Right/*physiology
MH  - *Ventricular Remodeling
OTO - NOTNLM
OT  - Cone reconstruction
OT  - Ebstein's anomaly
OT  - Meta-analysis
OT  - New York Heart Association functional class
OT  - Right ventricle
OT  - Tricuspid valve
EDAT- 2017/10/20 06:00
MHDA- 2019/01/10 06:00
CRDT- 2017/10/20 06:00
PHST- 2017/05/11 00:00 [received]
PHST- 2017/08/13 00:00 [accepted]
PHST- 2017/10/20 06:00 [pubmed]
PHST- 2019/01/10 06:00 [medline]
PHST- 2017/10/20 06:00 [entrez]
AID - 4210473 [pii]
AID - 10.1093/icvts/ivx312 [doi]
PST - ppublish
SO  - Interact Cardiovasc Thorac Surg. 2018 Feb 1;26(2):301-306. doi: 
      10.1093/icvts/ivx312.