Ebstein anomaly

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Surgical outcome of Ebstein Anomaly(Chen et al, JTCVS 2004)• Children’s hospital of New York• 1990-2002, 25 Patients• Age: 2 m – 46.8 yrs ( median: 8.2 yrs)• Carpentier technique• Residual moderate to severe TR: 13/25(52%)• Reoperation (3) : TVR(2), Addition of BCPS (1)• Late death: 2 patients with severe residual TR
Repair of Ebstein anomaly is tricky !• Wide spectrum of disease• Difficult to define morphology• Limited experience• No standardized surgical strategy• Various surgical techniques
Page 2 and 3: Surgical algorithm (AMC)Ebstein’s
Page 4: Typical scenario• M / 45, Carpent
Page 9 and 10: Ebstein Anomaly as a SpectrumC. typ
Page 11 and 12: Ebstein Anomaly as a SpectrumC. typ
Page 13 and 14: Ebstein anomaly :Delamination failu
Page 15 and 16: Degree of Delamination failure
Page 17 and 18: Effective valve orifice in 23 speci
Page 19 and 20: Carpentier Classification(Carpenter
Page 21 and 22: Celermajer index changes!Postnatal
Page 23 and 24: Danielson Repair
Page 25 and 26: Danielson Repair
Page 27 and 28: Carpentier repair (1)
Page 29 and 30: Carpentier repair (3)
Page 31 and 32: Advantages of vertical plication of
Page 33 and 34: Cone procedure
Page 35 and 36: Wu technique(Wu et al, ATS 2004)
Page 37 and 38: Hetzer repair• No plication of aR
Page 39 and 40: Hetzer repair(Hetzer et al, JTCVS19
Page 41 and 42: Hetzer repair(Hetzer et al, JTCVS19
Page 43 and 44: Hetzer repair-Sebening stitch-
Page 45 and 46: aRV function after Hetzer repairM/2
Page 47 and 48: aRV function after Hetzer repairM/2
Page 49 and 50: aRV function after Hetzer repairF/2
Page 51 and 52: AMC experience of Hetzer repair•
Page 53 and 54: AMC experience of Hetzer Technique
Page 55:
AMC experience of Hetzer Technique
Page 60 and 61:
TVR in Ebstein anomaly• 20 - 80%
Page 62 and 63:
Overly aggressive TVPC. typeABCDSur
Page 64 and 65:
Operative series of Ebstein Anomaly
Page 66 and 67:
TVR with Bioprosthesis in young age
Page 68 and 69:
1 ½ repair in Ebstein anomaly-Theo
Page 70 and 71:
1 ½ repair in Ebstein AnomalyC. ty
Page 72:
1 ½ repair in Ebstein AnomalyC. ty
Page 77 and 78:
Surgical algorithm (AMC)Ebstein’s
Page 79 and 80:
Ebstein Anomaly as a SpectrumC. typ
Page 81:
Summary• Fontan track: 10% of ent
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Ebstein anomaly

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