PMID- 7138107
OWN - NLM
STAT- MEDLINE
DCOM- 19821216
LR  - 20190628
IS  - 0003-4975 (Print)
IS  - 0003-4975 (Linking)
VI  - 34
IP  - 4
DP  - 1982 Oct
TI  - Ebstein's anomaly: editorial comments and personal observations.
PG  - 396-400
AB  - Renewed interest in the natural history of Ebstein's anomaly has been created by 
      recent surgical innovations in its management. Tricuspid valve replacement and 
      various types of plastic reconstruction are the two methods of treating Ebstein's 
      anomaly. Replacement of the tricuspid valve has been more successful in older 
      children and adults than in infants, but overall, less successful than procedures 
      involving mitral or aortic valve prosthesis. At the Mayo Clinic, 42 patients with 
      Ebstein's anomaly, aged 11 months to 62 years, underwent surgical repair. Plastic 
      repair was accomplished in 34 of these patients, and right ventricular plication 
      and valve replacement in 6 others. Two patients had valves that could not be 
      reconstructed, and underwent a Fontan procedure instead. Three hospital deaths 
      and two late deaths occurred. There have been no deaths in the 25 patients seen 
      last in the series. Long-term follow-up was obtained in the first 22 survivors. 
      The majority were in New York Heart Association (NYHA) Class III or IV 
      preoperatively; all but 3 had improved to NYHA Class I or II at follow-up. 
      Because of the low mortality rate and good long-term results as well as the fact 
      that the majority of patients can be repaired with a plastic procedure, the 
      operation is advisable for patients who have deteriorated into NYHA Class III or 
      IV. Those patients with moderate to severe cyanosis, paradoxical emboli, or 
      progressive increase in cardiac size are also candidates for operation.
FAU - Danielson, G K
AU  - Danielson GK
LA  - eng
PT  - Journal Article
PL  - Netherlands
TA  - Ann Thorac Surg
JT  - The Annals of thoracic surgery
JID - 15030100R
SB  - IM
MH  - Ebstein Anomaly/diagnosis/*surgery
MH  - Heart Valve Prosthesis
MH  - Humans
MH  - Tricuspid Valve/surgery
EDAT- 1982/10/01 00:00
MHDA- 1982/10/01 00:01
CRDT- 1982/10/01 00:00
PHST- 1982/10/01 00:00 [pubmed]
PHST- 1982/10/01 00:01 [medline]
PHST- 1982/10/01 00:00 [entrez]
AID - S0003-4975(10)61400-2 [pii]
AID - 10.1016/s0003-4975(10)61400-2 [doi]
PST - ppublish
SO  - Ann Thorac Surg. 1982 Oct;34(4):396-400. doi: 10.1016/s0003-4975(10)61400-2.