Repository logo
  • English
  • 中文
Log In
Have you forgotten your password?
  1. Home
  2. College of Medicine / 醫學院
  3. School of Medicine / 醫學系
  4. Surgical Strategy Toward Biventricular Repair for Severe Ebstein Anomaly in Neonates and Infancy
 
  • Details

Surgical Strategy Toward Biventricular Repair for Severe Ebstein Anomaly in Neonates and Infancy

Journal
Annals of Thoracic Surgery
Journal Volume
104
Journal Issue
3
Pages
917-925
Date Issued
2017
Author(s)
SHU-CHIEN HUANG  
EN-TING WU  
SHYH-JYE CHEN  
CHI-HSIANG HUANG  
JIN-CHUNG SHIH  
HENG-WEN CHOU  
CHUNG-I CHANG  
ING-SH CHIU  
YIH-SHARNG CHEN  
DOI
10.1016/j.athoracsur.2017.01.081
URI
https://www.scopus.com/inward/record.uri?eid=2-s2.0-85018649078&doi=10.1016%2fj.athoracsur.2017.01.081&partnerID=40&md5=85aaf8e4225b48ed6aad89e022d12978
https://scholars.lib.ntu.edu.tw/handle/123456789/433963
Abstract
Background Neonates with severe forms of Ebstein anomaly present a surgical challenge, and the Starnes operation as single ventricle palliation is highly advocated. Cone reconstruction for tricuspid valvuloplasty (TVP) has become a widely accepted technique, although very few cases of TVP have been reported in neonates. This report describes a surgical strategy for neonatal Ebstein anomaly, with an aim toward biventricular repair. Methods Since 2007, 7 neonates or young infants with severe Ebstein anomalies have received TVP at the National Taiwan University Hospital, Taipei, Taiwan. The principle of cone reconstruction was applied with mobilization of all three leaflets and reattachment to the normal tricuspid annulus. The atrialized right ventricle was not plicated. In patients with pulmonary stenosis, the interatrial communication was not totally closed (n = 5), and a systemic-pulmonary shunt was added if needed (n = 3). Results All patients presented with intractable heart failure or severe cyanosis requiring mechanical ventilation, or both. All patients had marked adherence of the anterior leaflet to the right ventricular free wall. Intracardiac anomalies including ventricular septal defect (n = 2) and tetralogy of Fallot (n = 1) were also repaired simultaneously. Six of the 7 patients (86%) survived. There were no late deaths or repeat TVPs for a median follow-up of 4.3 years (range, 0.8 to 9.9 years). Conclusions Reconstruction of the tricuspid valve is an acceptable surgical strategy in patients with severe neonatal Ebstein anomaly. Fenestrated atrial septal defect and systemic-pulmonary shunt can help overcome anatomic pulmonary stenosis and high pulmonary resistance in the neonatal period. This surgical strategy has a good survival outcome and preserves the possibility of complete biventricular repair. ? 2017 The Society of Thoracic Surgeons
SDGs

[SDGs]SDG3

Other Subjects
dopamine; epinephrine; milrinone; nitric oxide; artificial ventilation; biventricular repair; cardiopulmonary bypass; clinical article; Conference Paper; cyanosis; Ebstein anomaly; extracorporeal oxygenation; Fallot tetralogy; female; fenestration; follow up; heart right ventricle; heart right ventricle failure; heart ventricle septum defect; heart ventricle wall; human; infant; low drug dose; lung vascular resistance; medical record review; newborn; pediatric surgery; pericardial patch; priority journal; pulmonary valve stenosis; retrospective study; surgical mortality; surgical patient; surgical technique; systemic pulmonary shunt; transannular patch; tricuspid valve repair; Ebstein anomaly; heart surgery; heart ventricle; male; practice guideline; procedures; reconstructive surgery; severity of illness index; standards; time factor; treatment outcome; Cardiac Surgical Procedures; Ebstein Anomaly; Female; Follow-Up Studies; Heart Ventricles; Humans; Infant; Infant, Newborn; Male; Practice Guidelines as Topic; Reconstructive Surgical Procedures; Retrospective Studies; Severity of Illness Index; Time Factors; Treatment Outcome
Publisher
Elsevier USA
Type
conference paper

臺大位居世界頂尖大學之列,為永久珍藏及向國際展現本校豐碩的研究成果及學術能量,圖書館整合機構典藏(NTUR)與學術庫(AH)不同功能平台,成為臺大學術典藏NTU scholars。期能整合研究能量、促進交流合作、保存學術產出、推廣研究成果。

To permanently archive and promote researcher profiles and scholarly works, Library integrates the services of “NTU Repository” with “Academic Hub” to form NTU Scholars.

總館學科館員 (Main Library)
醫學圖書館學科館員 (Medical Library)
社會科學院辜振甫紀念圖書館學科館員 (Social Sciences Library)

開放取用是從使用者角度提升資訊取用性的社會運動,應用在學術研究上是透過將研究著作公開供使用者自由取閱,以促進學術傳播及因應期刊訂購費用逐年攀升。同時可加速研究發展、提升研究影響力,NTU Scholars即為本校的開放取用典藏(OA Archive)平台。(點選深入了解OA)

  • 請確認所上傳的全文是原創的內容,若該文件包含部分內容的版權非匯入者所有,或由第三方贊助與合作完成,請確認該版權所有者及第三方同意提供此授權。
    Please represent that the submission is your original work, and that you have the right to grant the rights to upload.
  • 若欲上傳已出版的全文電子檔,可使用Open policy finder網站查詢,以確認出版單位之版權政策。
    Please use Open policy finder to find a summary of permissions that are normally given as part of each publisher's copyright transfer agreement.
  • 網站簡介 (Quickstart Guide)
  • 使用手冊 (Instruction Manual)
  • 線上預約服務 (Booking Service)
  • 方案一:臺灣大學計算機中心帳號登入
    (With C&INC Email Account)
  • 方案二:ORCID帳號登入 (With ORCID)
  • 方案一:定期更新ORCID者,以ID匯入 (Search for identifier (ORCID))
  • 方案二:自行建檔 (Default mode Submission)
  • 方案三:學科館員協助匯入 (Email worklist to subject librarians)

Built with DSpace-CRIS software - Extension maintained and optimized by 4Science