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Date Published: 02/11/2020
Abstract Views: 232
Views PDF: 126
DOI: https://doi.org/10.47972/vjcts.v2i.219
Issue
Vol. 2
Section
Research Article
How to Cite
Hien, N. S. (2020). RESULTS OF SURGICAL REPAIR OF EBSTEIN’S ANOMALY AT HANOI HEART HOSPITAL. The Vietnam Journal of Cardiovascular and Thoracic Surgery, 2, 33-39. https://doi.org/10.47972/vjcts.v2i.219

RESULTS OF SURGICAL REPAIR OF EBSTEIN’S ANOMALY AT HANOI HEART HOSPITAL

Nguyen Sinh Hien

Main Article Content

Abstract

Objectives: We sough to analyze the technical feature and results of surgical repair of Ebstein’s Anomaly with modified Carpentier’s technique in recovering function and anatomy of right ventricle and tricuspid valve to nearly normal state.
Methods: From August 2005 to December 2010, at Hanoi Heart Hospital we performed 52 surgical repairs of Ebstein’s Anomaly with modified Carpentier’s technique: Detachment of the posterior and septal leaflet and the adjacent part of the anterior leaflet to achieve extensive mobilization of the leaflet tissue; Vertical plication of the atrialized chamber and right atrium to reconstruct the right ventricle and
reduce the size of the dilated right atrium; Repositioning of the anterior and posterior leaflets at the tricuspid annulus to cover the entire orifice area with leaflet tissue at a normal level; Reinforcement of the tricuspid annulus with a prosthetic ring in cases with a very large orifice (Patients over 15 years); Closure of VSD, ASD, and mitral repair … for the associated cardiac anomalies.
Results: 52 patients with a mean age of 20 years (range 3 to 49 years) underwent repair. Comparative pre and postoperative data showed reduction tricuspid regurgitation grade from từ 3,72± 0,48 to 1,56± 0,48  (p < 0,01 ) and improvement in the functional class of heart failure (NYHA) from 2,53 ± 0,53 to 1,14± 0,35 (p < 0,01). No patients required reoperation. One early death (1,9%) occurred and was caused by sevre bleeding. The average follow- up is 42,42 months (range 17 to 81 months).
Conclusion: Whith modified Carpentier technique, our results of surgical repaire of Ebstein’s Anomaly in these 52 patients are satisfactory.

Article Details

References

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