The Patient with Ebstein's Anomaly of the Tricuspid Valve Underwent a New Surgical Repair Modified from Carpentier's Procedure

Öz

A new procedure for correction of Ebstein's anomaly that restores to near normal the anatomic and physiologic function of the tricuspid valve and the right ventricle is reported. Through a surgical approach, the displaced anterior leaflet was detached from the annulus. Most of the atrialized portion of the right ventricular wall was suspended; the tricuspid annulus was plicated anteromedially. The leaflet was then reattached to the native anterior annulus. Tricuspid valve was repaired using a 33 mm St. Jude ring. The patient was discharged from hospital uneventfully.

Anahtar Kelimeler

• Ebstein's anomaly, congenital; tricuspid valve disease

Ebstein Anomalisi Olan Bir Hastada Carpentier Yönteminden Modifiye Edilen Yeni Bir Cerrahi Onarım

Öz

Ebsein anomalisinin düzeltilmesinde, trikuspid kapak ve sağ ventrikülün normale yakın işlemesi için yeni bir yöntem bildirilmiştir. Cerrahi yaklaşım ile deplase ön leaflet, annulustan kesilip ayrıldı. Atrialize olmuş sağ ventrikülün çoğu kısmı asıldı. Trikuspid annulusun anteromedial kısmı plike edildi. Daha sonra, ön leaflet kendi anulusuna tekrar dikildi. Trikuspid kapak 33 mm St. Jude ring ile onarıldı. Hasta sorunsuz olarak hastaneden taburcu edildi.

Anahtar Kelimeler

• Ebstein anomalisi, konjenital; triküspid kapak hastalığı

Kaynakça

1. Palmen M, de Jong PL, Klieverik LM, Venema AC, Meijboom FJ, Bogers AJ. Long-term follow-up after repair of Ebstein’s anomaly. Eur J Cardiothorac Surg 2008;34:48-54.
2. Attenhofer Jost CH, Connolly HM, Dearani JA, Edwards WD, Danielson GK Ebstein’s Anomaly. Circulation 2007;115; 277-85.
3. Dearani JA, Danielson GK. Surgical Management of Ebstein’s Anomaly in the Adult. Semin Thorac Cardiovasc Surg 2005;17:148-54.
4. Chauvaud S, Carpentier A. Ebstein’s anomaly: the Broussais approach. Multimed Man Cardiothorac Surg 2008:doi: 10.1510/mmcts.2007.003038.
5. Figure 5. Anterior and posterior leaflet of tricuspid valve
6. Figure 6. Ring annuloplasty of tricuspid valve