Early and Long-Term Outcomes of Surgical Treatment of Ebstein’s Anomaly
Autor(a) principal: | |
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Data de Publicação: | 2019 |
Outros Autores: | , , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Brazilian Journal of Cardiovascular Surgery (Online) |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-76382019000500511 |
Resumo: | Abstract Objective: This study aimed to evaluate Ebstein’s anomaly surgical correction and its early and long-term outcomes. Methods: A retrospective analysis of 62 consecutive patients who underwent surgical repair of Ebstein’s anomaly in our institution from January 2000 to July 2016. The following long-term outcomes were evaluated: survival, reoperations, tricuspid regurgitation, and postoperative right ventricular dysfunction. Results: Valve repair was performed in 46 (74.2%) patients - 12 of them using the Da Silva cone reconstruction; tricuspid valve replacement was performed in 11 (17.7%) patients; univentricular palliation in one (1.6%) patient; and the one and a half ventricle repair in four (6.5%) patients. The patients’ mean age at the time of surgery was 20.5±14.9 years, and 46.8% of them were male. The mean follow-up time was 8.8±6 years. The 30-day mortality rate was 8.06% and the one and 10-year survival rates were 91.9% both. Eleven (17.7%) of the 62 patients required late reoperation due to tricuspid regurgitation, in an average time of 7.1±4.9 years after the first procedure. Conclusion: In our experience, the long-term results of the surgical treatment of Ebstein's anomaly demonstrate an acceptable survival rate and a low incidence of reinterventions. |
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Brazilian Journal of Cardiovascular Surgery (Online) |
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Early and Long-Term Outcomes of Surgical Treatment of Ebstein’s AnomalyEbstein AnomalyTricuspid Valve InsufficiencyVentricular DysfunctionRightCardiac Surgical ProceduresSurvival RateAbstract Objective: This study aimed to evaluate Ebstein’s anomaly surgical correction and its early and long-term outcomes. Methods: A retrospective analysis of 62 consecutive patients who underwent surgical repair of Ebstein’s anomaly in our institution from January 2000 to July 2016. The following long-term outcomes were evaluated: survival, reoperations, tricuspid regurgitation, and postoperative right ventricular dysfunction. Results: Valve repair was performed in 46 (74.2%) patients - 12 of them using the Da Silva cone reconstruction; tricuspid valve replacement was performed in 11 (17.7%) patients; univentricular palliation in one (1.6%) patient; and the one and a half ventricle repair in four (6.5%) patients. The patients’ mean age at the time of surgery was 20.5±14.9 years, and 46.8% of them were male. The mean follow-up time was 8.8±6 years. The 30-day mortality rate was 8.06% and the one and 10-year survival rates were 91.9% both. Eleven (17.7%) of the 62 patients required late reoperation due to tricuspid regurgitation, in an average time of 7.1±4.9 years after the first procedure. Conclusion: In our experience, the long-term results of the surgical treatment of Ebstein's anomaly demonstrate an acceptable survival rate and a low incidence of reinterventions.Sociedade Brasileira de Cirurgia Cardiovascular2019-10-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-76382019000500511Brazilian Journal of Cardiovascular Surgery v.34 n.5 2019reponame:Brazilian Journal of Cardiovascular Surgery (Online)instname:Sociedade Brasileira de Cirurgia Cardiovascular (SBCCV)instacron:SBCCV10.21470/1678-9741-2018-0333info:eu-repo/semantics/openAccessSilva,Guilherme Viotto Rodrigues daMiana,Leonardo AugustoCaneo,Luiz FernandoTurquetto,Aída Luiza RibeiroTanamati,CarlaPenha,Juliano G.Jatene,Fabio BJatene,Marcelo Beng2019-11-06T00:00:00Zoai:scielo:S0102-76382019000500511Revistahttp://www.rbccv.org.br/https://old.scielo.br/oai/scielo-oai.php||rosangela.monteiro@incor.usp.br|| domingo@braile.com.br|| brandau@braile.com.br1678-97410102-7638opendoar:2019-11-06T00:00Brazilian Journal of Cardiovascular Surgery (Online) - Sociedade Brasileira de Cirurgia Cardiovascular (SBCCV)false |
dc.title.none.fl_str_mv |
Early and Long-Term Outcomes of Surgical Treatment of Ebstein’s Anomaly |
title |
Early and Long-Term Outcomes of Surgical Treatment of Ebstein’s Anomaly |
spellingShingle |
Early and Long-Term Outcomes of Surgical Treatment of Ebstein’s Anomaly Silva,Guilherme Viotto Rodrigues da Ebstein Anomaly Tricuspid Valve Insufficiency Ventricular Dysfunction Right Cardiac Surgical Procedures Survival Rate |
title_short |
Early and Long-Term Outcomes of Surgical Treatment of Ebstein’s Anomaly |
title_full |
Early and Long-Term Outcomes of Surgical Treatment of Ebstein’s Anomaly |
title_fullStr |
Early and Long-Term Outcomes of Surgical Treatment of Ebstein’s Anomaly |
title_full_unstemmed |
Early and Long-Term Outcomes of Surgical Treatment of Ebstein’s Anomaly |
title_sort |
Early and Long-Term Outcomes of Surgical Treatment of Ebstein’s Anomaly |
author |
Silva,Guilherme Viotto Rodrigues da |
author_facet |
Silva,Guilherme Viotto Rodrigues da Miana,Leonardo Augusto Caneo,Luiz Fernando Turquetto,Aída Luiza Ribeiro Tanamati,Carla Penha,Juliano G. Jatene,Fabio B Jatene,Marcelo B |
author_role |
author |
author2 |
Miana,Leonardo Augusto Caneo,Luiz Fernando Turquetto,Aída Luiza Ribeiro Tanamati,Carla Penha,Juliano G. Jatene,Fabio B Jatene,Marcelo B |
author2_role |
author author author author author author author |
dc.contributor.author.fl_str_mv |
Silva,Guilherme Viotto Rodrigues da Miana,Leonardo Augusto Caneo,Luiz Fernando Turquetto,Aída Luiza Ribeiro Tanamati,Carla Penha,Juliano G. Jatene,Fabio B Jatene,Marcelo B |
dc.subject.por.fl_str_mv |
Ebstein Anomaly Tricuspid Valve Insufficiency Ventricular Dysfunction Right Cardiac Surgical Procedures Survival Rate |
topic |
Ebstein Anomaly Tricuspid Valve Insufficiency Ventricular Dysfunction Right Cardiac Surgical Procedures Survival Rate |
description |
Abstract Objective: This study aimed to evaluate Ebstein’s anomaly surgical correction and its early and long-term outcomes. Methods: A retrospective analysis of 62 consecutive patients who underwent surgical repair of Ebstein’s anomaly in our institution from January 2000 to July 2016. The following long-term outcomes were evaluated: survival, reoperations, tricuspid regurgitation, and postoperative right ventricular dysfunction. Results: Valve repair was performed in 46 (74.2%) patients - 12 of them using the Da Silva cone reconstruction; tricuspid valve replacement was performed in 11 (17.7%) patients; univentricular palliation in one (1.6%) patient; and the one and a half ventricle repair in four (6.5%) patients. The patients’ mean age at the time of surgery was 20.5±14.9 years, and 46.8% of them were male. The mean follow-up time was 8.8±6 years. The 30-day mortality rate was 8.06% and the one and 10-year survival rates were 91.9% both. Eleven (17.7%) of the 62 patients required late reoperation due to tricuspid regurgitation, in an average time of 7.1±4.9 years after the first procedure. Conclusion: In our experience, the long-term results of the surgical treatment of Ebstein's anomaly demonstrate an acceptable survival rate and a low incidence of reinterventions. |
publishDate |
2019 |
dc.date.none.fl_str_mv |
2019-10-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-76382019000500511 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-76382019000500511 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.21470/1678-9741-2018-0333 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Sociedade Brasileira de Cirurgia Cardiovascular |
publisher.none.fl_str_mv |
Sociedade Brasileira de Cirurgia Cardiovascular |
dc.source.none.fl_str_mv |
Brazilian Journal of Cardiovascular Surgery v.34 n.5 2019 reponame:Brazilian Journal of Cardiovascular Surgery (Online) instname:Sociedade Brasileira de Cirurgia Cardiovascular (SBCCV) instacron:SBCCV |
instname_str |
Sociedade Brasileira de Cirurgia Cardiovascular (SBCCV) |
instacron_str |
SBCCV |
institution |
SBCCV |
reponame_str |
Brazilian Journal of Cardiovascular Surgery (Online) |
collection |
Brazilian Journal of Cardiovascular Surgery (Online) |
repository.name.fl_str_mv |
Brazilian Journal of Cardiovascular Surgery (Online) - Sociedade Brasileira de Cirurgia Cardiovascular (SBCCV) |
repository.mail.fl_str_mv |
||rosangela.monteiro@incor.usp.br|| domingo@braile.com.br|| brandau@braile.com.br |
_version_ |
1752126600826060800 |