Abstrakt

Surgical results of Ebsteins anomaly based on pathology and techniques

Qingyu Wu

 The target of this investigation was to assess the results of patients who experienced the various strategies as indicated by the pathology of Ebstein inconsistency (EA). Techniques: From March 2004 to February 2017, 228 patients (mean age, 19.8±15.4 years; run, 7 months-64 years) with EA experienced 232 heart tasks at our emergency clinic. Twenty-nine patients had an earlier heart technique previously. Among the patients in first strategies, 92 patients (46.2%) were ordered to Carpentier type C and 63 patients (31.7%) were type D, 7 patients (3.5%) had disengaged front handout descending removal. Anatomical fix were acted in 179 patients (Type B, n=35; type C, n=92; Type D, n=29; unclassifiable, n=7; reoperation, n=16), 1½ ventricle fix in 37 (Type D, n=33; reoperation, n=4), tricuspid valve fix in 3 (Type A, n=2; Type B, n=1), tricuspid valve substitution in 10 (7 reoperations), and Fontan method in 3 (TCPC, n=2; Glenn, n=1). Atrialized right ventricle was introduced in 194 cases (168 extracted, 6 consolidated). The pathology of 199 patients who experienced first techniques at our middle depicted in Table 1. Results: The mortality was 1.7% (n=4: anatomical fix, n=3; 1½ ventricle fix, n=1). Among these, 1 pathology type was Carpentier type C and 3 were type D. 1 A-V square (0.4%) recently happened. 214 patients were accessible to development. The scope of follow-up length was 10 months to 13 years (mean, 7.3±3.2 years). Late endurance was 99% (2 late passings) at 10 years. Three patients got (reoperation rate, 1.3%; TVR, n=1; 1½ ventricle fix, n=2). Mean New York Heart Association class improved from 3.5 to 1.1. Ends: The rule of the strategies is to recreate the tricuspid valve and right ventricle anatomically. For most cases, the anatomical fix was shown with low mortality, less confusions and amazing strength at long haul development