Early and long-term outcomes of surgical treatment of ebstein's anomaly
Rev. bras. cir. cardiovasc
;
34(5): 511-516, Sept.-Oct. 2019. tab, graf
Article
in English
| LILACS
| ID: biblio-1042045
ABSTRACT
Abstract Objective:
This study aimed to evaluate Ebstein's anomaly surgical correction and its early and long-term outcomes.Methods:
A retrospective analysis of 62 consecutive patients who underwent surgical repair of Ebstein's anomaly in our institution from January 2000 to July 2016. The following long-term outcomes were evaluated survival, reoperations, tricuspid regurgitation, and postoperative right ventricular dysfunction.Results:
Valve repair was performed in 46 (74.2%) patients - 12 of them using the Da Silva cone reconstruction; tricuspid valve replacement was performed in 11 (17.7%) patients; univentricular palliation in one (1.6%) patient; and the one and a half ventricle repair in four (6.5%) patients. The patients' mean age at the time of surgery was 20.5±14.9 years, and 46.8% of them were male. The mean follow-up time was 8.8±6 years. The 30-day mortality rate was 8.06% and the one and 10-year survival rates were 91.9% both. Eleven (17.7%) of the 62 patients required late reoperation due to tricuspid regurgitation, in an average time of 7.1±4.9 years after the first procedure.Conclusion:
In our experience, the long-term results of the surgical treatment of Ebstein's anomaly demonstrate an acceptable survival rate and a low incidence of reinterventions.
Full text:
Available
Index:
LILACS (Americas)
Main subject:
Tricuspid Valve
/
Ebstein Anomaly
Type of study:
Etiology study
/
Observational study
/
Risk factors
Limits:
Adolescent
/
Adult
/
Aged
/
Child
/
Child, preschool
/
Female
/
Humans
/
Infant
/
Male
Language:
English
Journal:
Rev. bras. cir. cardiovasc
Journal subject:
Cardiology
/
General Surgery
Year:
2019
Type:
Article
Affiliation country:
Brazil
Institution/Affiliation country:
Universidade de São Paulo/BR
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