Long-term follow-up after repair of Ebstein's anomaly
European Journal of Cardio-Thoracic Surgery , Volume 34 - Issue 1 p. 48- 54
Objective: We studied the long-term results of vertical plication repair of Ebstein's anomaly according to Carpentier. Methods: Between 1988 and 2007, 28 patients (mean age 28.8 ± 15.7 years, range 4-58 years) underwent vertical plication repair of Ebstein's anomaly. At operation the anomaly was classified according to Carpentier. In three patients (11%) a cavopulmonary shunt was added at the repair on the indication of impaired right ventricular function. Results: There was no operative mortality. Early mortality was 3.6% (one patient). Actuarial survival and actuarial freedom from reoperation at 19 years were 96% (95% CI; 96-97%) and 72% (95% CI; 53-92%), respectively. Six patients required reoperation, with a successful re-repair in three patients. Mean duration of follow-up was 10.7 ± 6.5 years. One year postoperatively, tricuspid incompetence had decreased significantly (p < 0.001), as had New York Heart Association (NYHA) functional class (p < 0.001). In addition, exercise tolerance had increased (70 ± 19% to 92 ± 9% of predicted values, p < 0.05). Both tricuspid function and NYHA functional class remained essentially unchanged at the end of follow-up, indicating durable haemodynamic and functional results. Conclusion: This study demonstrates favourable long-term results following vertical plication repair of Ebstein's anomaly with low mortality, acceptable morbidity and good haemodynamic and functional results.
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|European Journal of Cardio-Thoracic Surgery|
|Organisation||Erasmus MC: University Medical Center Rotterdam|
Palmen, M, de Jong, P.L, Klieverik, L.M.A, Venema, A.C, Meijboom, F.J, & Bogers, A.J.J.C. (2008). Long-term follow-up after repair of Ebstein's anomaly. European Journal of Cardio-Thoracic Surgery, 34(1), 48–54. doi:10.1016/j.ejcts.2008.03.048