PMID- 35238316
OWN - NLM
STAT- MEDLINE
DCOM- 20220304
LR  - 20220304
IS  - 1522-6662 (Electronic)
IS  - 1098-3511 (Linking)
VI  - 25
IP  - 1
DP  - 2022 Jan 17
TI  - The Mid-Term Outcomes of Cone Repair or Replacement of Tricuspid Valve in 
      Patients with Ebstein's Anomaly: Our Experience.
PG  - E030-E036
LID - 10.1532/hsf.4165 [doi]
AB  - BACKGROUND: Cone repair of the tricuspid valve (TV) is a contemporary 
      reproducible technique for surgical reconstruction of Ebstein's anomaly. 
      Different authorities have shown that this technique restores excellent tricuspid 
      valve function. In Bangladesh, this technique still is unfamiliar to many. We 
      hereby present a case series of cone repair and TV replacement with the mid-term 
      outcome (one year to six years) at the National Heart Foundation Hospital & 
      Research Institute, Dhaka, Bangladesh. METHODS: We prospectively studied 21 
      patients, who underwent surgical intervention (cone repair or tricuspid valve 
      replacement) for Ebstein's anomaly of TV from March 2014 to June 2020. We divided 
      the total patient population into the cone repair and TV replacement groups. 
      Preoperative, postoperative, and follow-up data were collected from the hospital 
      records, telephone conversations, and clinic visits. All collected data 
      statistically were analyzed. RESULTS: Our patients showed there were 
      statistically significant improvements after surgical intervention with regard to 
      tricuspid regurgitation (TR) (P < 0.001), tricuspid annular plane systolic 
      excursion (TAPSE) (P < 0.001), right ventricular (RV) function (P < 0.001), and 
      New York Heart Association (NYHA) class (P < 0.001). These developments were 
      sustained throughout the follow-up period. CONCLUSION: Cone repair should be 
      offered to the symptomatic patients of Ebstein's anomaly because symptoms relief, 
      reduction of morbidity, and survival benefits are excellent. Above all, the cone 
      reconstruction shows fantastic results and may well become the surgical technique 
      for patients with Ebstein's anomaly. We hope that new valve repair programs may 
      provide extended longevity and restored quality of life to the patient of 
      Ebstein's anomaly (EA) with the appropriate measures. In case of failed repair, 
      valve replacement is an encouraging option.
FAU - Talukder, Quamrul Islam
AU  - Talukder QI
AD  - Department of Cardiac Surgery, National Heart Foundation Hospital and Research 
      Institute, Mirpur, Dhaka-1216, Bangladesh. mqitalukder@gmail.com.
FAU - DasGupta, Saikat
AU  - DasGupta S
AD  - Department of Cardiac Surgery, Square Hospitals Limited, West, Panthapath, 
      Dhaka-1205, Bangladesh. saikatdasgupta@ymail.com.
FAU - Samad, Abdus
AU  - Samad A
AD  - Department of Cardiac Anesthesia, National Heart Foundation Hospital and Research 
      Institute, Mirpur, Dhaka-1216, Bangladesh. samad.abdus51@gmail.com.
FAU - Khan, Musfeq-Us-Saleheen
AU  - Khan MU
AD  - Department of Cardiac Surgery, National Heart Foundation Hospital and Research 
      Institute, Mirpur, Dhaka-1216, Bangladesh. msk.ronin@gmail.com.
FAU - Rahman, Ziaur
AU  - Rahman Z
AD  - Department of Cardiac Surgery, National Heart Foundation Hospital and Research 
      Institute, Mirpur, Dhaka-1216, Bangladesh. mz.rahman75@yahoo.com.
FAU - Kabiruzzaman, Mohammad
AU  - Kabiruzzaman M
AD  - Department of Cardiology, National Heart Foundation Hospital and Research 
      Institute, Mirpur, Dhaka-1216, Bangladesh. drkabiruzzaman@yahoo.com.
FAU - Rahman, Atm Khalilur
AU  - Rahman AK
AD  - Department of Cardiac Anesthesia, National Heart Foundation Hospital and Research 
      Institute, Mirpur, Dhaka-1216, Bangladesh. atmkhalil@gmail.com.
FAU - Ahmed, Farooque
AU  - Ahmed F
AD  - Department of Cardiac Surgery, National Heart Foundation Hospital and Research 
      Institute, Mirpur, Dhaka-1216, Bangladesh. dr.farooqueahmed@yahoo.com.
LA  - eng
PT  - Journal Article
DEP - 20220117
PL  - United States
TA  - Heart Surg Forum
JT  - The heart surgery forum
JID - 100891112
SB  - IM
MH  - Bangladesh
MH  - *Ebstein Anomaly/complications/diagnosis/surgery
MH  - Humans
MH  - Quality of Life
MH  - Tricuspid Valve/diagnostic imaging/surgery
MH  - *Tricuspid Valve Insufficiency/diagnosis/etiology/surgery
EDAT- 2022/03/04 06:00
MHDA- 2022/03/05 06:00
CRDT- 2022/03/03 08:46
PHST- 2021/07/23 00:00 [received]
PHST- 2021/12/10 00:00 [accepted]
PHST- 2022/03/03 08:46 [entrez]
PHST- 2022/03/04 06:00 [pubmed]
PHST- 2022/03/05 06:00 [medline]
AID - 10.1532/hsf.4165 [doi]
PST - epublish
SO  - Heart Surg Forum. 2022 Jan 17;25(1):E030-E036. doi: 10.1532/hsf.4165.