Ebstein Anomalisinde Carpentier Tipi Kapak Tamiri / Carpentier Type Valve Reconstruction in Ebstein’s Anomaly

Yıl 2017, Cilt: 39 Sayı: 2, 65 - 69, 20.07.2017

Buğra Harmandar

https://doi.org/10.20515/otd.329936

Öz

Öz: Ebstein
anomalisinde triküspid kapağın apikal yerdeğiştirme miktarı ve sağ ventrikülün
hipoplazisinin ağırlığına bağlı olarak tek ventrikül, 1+½ ventrikül veya çift
ventrikül tamirleri uygulanabilmektedir. 1+½ ventrikül veya çift ventrikül
tamirleri dahilinde triküspid kapağa pekçok farklı rekonstrüksiyon prosedürü
uygulanmaktadır. Bu prosedürler arasında Carpentier tipi triküspid kapak
rekonstrüksiyonunun mortalite, morbidite ve reoperasyon oranlarının düşük
olduğu bildirilmektedir. Bu çalışmada, Tip 2 Ebstein anomalisine sahip erişkin
bir hastada Carpentier tipi triküspid kapak rekonstrüksiyonu ile birlikte
başarılı 1+½ ventrikül tamiri sunulmaktadır.

Anahtar Kelimeler: Ebstein
anomalisi, triküspid kapak tamiri, Carpentier tipi kapak tamiri, tek ventrikül,
1+½ ventrikül

Abstract: Single ventricle, 1+½
ventricle or double ventricle repairs may be performed in patients with
Ebstein’s anomaly depending on the severity of the right ventricular hypoplasia
and extent of the apical displacement of the tricuspid valve. Several
reconstruction procedures are used to be performed for the repair of tricuspid
valve within 1+½ ventricle and double ventricle repairs. Among these
procedures, Carpentier type tricuspid valve reconstruction was reported with
low mortality, morbidity and reoperation rates. In this study, successful 1+½
ventricle repair using Carpentier type tricuspid valve reconstruction is
presented in an adult patient with Type 2 Ebstein’s anomaly.

Keywords: Ebstein’s anomaly, tricuspid valve repair, Carpentier type valve repair,
single ventricle, 1+½ ventricle

Anahtar Kelimeler

Ebstein anomalisi, triküspid kapak tamiri, Carpentier tipi kapak tamiri, tek ventrikül

Kaynakça

• 1. Carpentier A, Chauvaud S, Mace L, Relland J, Mihaileanu S, Marino JP, Abry B, Guibourt P. A new reconstructive operation for Ebstein’s anomaly of the tricuspid valve. J Thorac Cardiovasc Surg 1988;96:92—101.
• 2. Palmen M1, 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 Jul;34(1):48-54.
• 3. Quaegebeur JM, Sreeram N, Fraser AG, Bogers AJ, Stumper OF, Hess J, Bos E, Sutherland GR. Surgery for Ebstein’s anomaly: the clinical and echocardiographic evaluation of a new technique. J Am Coll Cardiol 1991;17:772—8.
• 4. Chauvaud SM, Hernigou AC, Mousseaux ER, Sidi D, Hebert J-L. Ventricular volumes in Ebstein’s anomaly: X-ray multislice computed tomography before and after repair. Ann Thorac Surg 2006;81:1443—9.
• 5. Chauvaud S, Berrebi N, d’Attelis N, Hernigou A, Carpentier A. Ebsteins anomaly: repair based on functional analysis. Eur J Cardiothorac Surg 2003;23:525—31.
• 6. Danielson GK, Driscoll DJ, Mair DD, Warnes CA, Oliver WC. Operative treatment of Ebstein’s anomaly. J Thorac Cardiovasc Surg 1992;104:1195—202.
• 7. Boston US, Dearani JA, O’Leary PW, Driscoll DJ, Danielson GK. Tricuspid valve repair for Ebstein’s anomaly in young children: a 30-year experience. Ann Thorac Surg 2006;81:690—6.
• 8. Chen JM, Mosca RS, Altmann K, Printz BF, Targoff K, Mazzeo PA, Quaegebeur JM. Early and midterm results for repair of Ebstein anomaly. J Thorac Cardiovasc Surg 2004;127:990—9.
• 9. Quinonez LG, Dearani JA, Puga FJ, O’Leary PW, Driscoll DJ, Connolly HM, Danielson GK. Results of the 1.5-ventricle repair for Ebstein’s anomaly and the failing right ventricle. J Thorac Cardiovasc Surg 2007;133:1303—10.