Hetzer Technique for Surgical Correction of Ebstein's Anomaly / 대한흉부외과학회지
The Korean Journal of Thoracic and Cardiovascular Surgery
;
: 473-479, 2007.
Article
in Korean
| WPRIM
| ID: wpr-95014
ABSTRACT
BACKGROUND:
The Hetzer procedure for the correction of Ebstein's anomaly has the advantages of technical feasibility and incorporation of the atrialized right ventricle (RV) into the functional RV. MATERIAL ANDMETHOD:
We preformed a retrospective review of 11 patients with Ebstein's anomaly and they had undergone a Hetzer procedure between March 2002 and December 2006.RESULT:
The median age at operation was 19.8 years (range 6 months~56 years). There were 4 males and 7 females. All patients showed severe tricuspid regurgitation (TR) preoperatively, and arterial desaturation (<95%) was present in 3 patients. The original Hetzer technique was employed in 6 patients with the Carpentier type A anomaly. In the remaining 5 patients with the Carpentier type B or C anomalies, valve competence was restored at the level of the displaced tricuspid valve mechanism. Adjunct bidirectional cavo-pulmonary shunt, or one and a half ventricle repair strategy was employed for all the patients. The median follow-up was 8.6 months (range 0.8~51.9 months). There was no early or late death, and the immediate postoperative TR was trivial to mild in 8 patients. The median cardio-thoracic ratios on chest X-ray at the preoperative period and at postoperative 0, 1 and 6 months were 65%, 62%, 55% and 55%, respectively.CONCLUSION:
The original or modified Hetzer procedure for Ebstein's anomaly shows excellent intermediate-term outcomes.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Thorax
/
Tricuspid Valve
/
Tricuspid Valve Insufficiency
/
Retrospective Studies
/
Follow-Up Studies
/
Mental Competency
/
Fontan Procedure
/
Ebstein Anomaly
/
Preoperative Period
/
Heart Ventricles
Type of study:
Observational study
/
Prognostic study
Limits:
Female
/
Humans
/
Male
Language:
Korean
Journal:
The Korean Journal of Thoracic and Cardiovascular Surgery
Year:
2007
Type:
Article
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