دورية أكاديمية
أعرض في EDS

Early and Long-Term Outcomes of Surgical Treatment of Ebstein's Anomaly.

التفاصيل البيبلوغرافية
العنوان: Early and Long-Term Outcomes of Surgical Treatment of Ebstein's Anomaly.
المؤلفون: Silva GVRD; Universidade de São Paulo Faculdade de Medicina Hospital das Clínicas São Paulo SP Brazil Instituto do Coração do Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo (InCor-HCFMUSP), São Paulo, SP, Brazil., Miana LA; Universidade de São Paulo Faculdade de Medicina Hospital das Clínicas São Paulo SP Brazil Instituto do Coração do Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo (InCor-HCFMUSP), São Paulo, SP, Brazil., Caneo LF; Universidade de São Paulo Faculdade de Medicina Hospital das Clínicas São Paulo SP Brazil Instituto do Coração do Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo (InCor-HCFMUSP), São Paulo, SP, Brazil., Turquetto ALR; Universidade de São Paulo Faculdade de Medicina Hospital das Clínicas São Paulo SP Brazil Instituto do Coração do Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo (InCor-HCFMUSP), São Paulo, SP, Brazil., Tanamati C; Universidade de São Paulo Faculdade de Medicina Hospital das Clínicas São Paulo SP Brazil Instituto do Coração do Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo (InCor-HCFMUSP), São Paulo, SP, Brazil., Penha JG; Universidade de São Paulo Faculdade de Medicina Hospital das Clínicas São Paulo SP Brazil Instituto do Coração do Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo (InCor-HCFMUSP), São Paulo, SP, Brazil., Jatene FB; Universidade de São Paulo Faculdade de Medicina Hospital das Clínicas São Paulo SP Brazil Instituto do Coração do Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo (InCor-HCFMUSP), São Paulo, SP, Brazil., Jatene MB; Universidade de São Paulo Faculdade de Medicina Hospital das Clínicas São Paulo SP Brazil Instituto do Coração do Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo (InCor-HCFMUSP), São Paulo, SP, Brazil.
المصدر: Brazilian journal of cardiovascular surgery [Braz J Cardiovasc Surg] 2019 Dec 01; Vol. 34 (5), pp. 511-516. Date of Electronic Publication: 2019 Dec 01.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Brazilian Society of Cardiovascular Surgery Country of Publication: Brazil NLM ID: 101677045 Publication Model: Electronic Cited Medium: Internet ISSN: 1678-9741 (Electronic) Linking ISSN: 01027638 NLM ISO Abbreviation: Braz J Cardiovasc Surg Subsets: MEDLINE
أسماء مطبوعة: Original Publication: São Paulo, SP, Brasil : Brazilian Society of Cardiovascular Surgery, [2015]-
مواضيع طبية MeSH: Ebstein Anomaly/*surgery , Tricuspid Valve/*surgery, Adolescent ; Adult ; Aged ; Cardiac Surgical Procedures/adverse effects ; Cardiac Surgical Procedures/methods ; Cardiac Surgical Procedures/mortality ; Child ; Child, Preschool ; Ebstein Anomaly/complications ; Ebstein Anomaly/mortality ; Female ; Humans ; Infant ; Kaplan-Meier Estimate ; Male ; Middle Aged ; Postoperative Complications/etiology ; Reoperation/statistics & numerical data ; Retrospective Studies ; Severity of Illness Index ; Time Factors ; Treatment Outcome ; Tricuspid Valve Insufficiency/etiology ; Ventricular Dysfunction, Right/etiology ; Young Adult
مستخلص: 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.
References: Arq Bras Cardiol. 2011 Sep;97(3):199-208. (PMID: 21830001)
Ann Thorac Surg. 2018 Jan;105(1):160-168. (PMID: 29174783)
Ann Thorac Surg. 2018 Sep;106(3):785-791. (PMID: 29777671)
J Thorac Cardiovasc Surg. 2008 May;135(5):1120-36, 1136.e1-7. (PMID: 18455593)
J Thorac Cardiovasc Surg. 2007 Jan;133(1):215-23. (PMID: 17198815)
Semin Thorac Cardiovasc Surg Pediatr Card Surg Annu. 2007;:105-11. (PMID: 17434001)
J Thorac Cardiovasc Surg. 1988 Jul;96(1):92-101. (PMID: 3386297)
Cardiol Young. 2013 Feb;23(1):27-34. (PMID: 22417890)
Int J Cardiol. 2014 Feb 15;171(3):404-12. (PMID: 24411210)
Int J Cardiol. 2016 Mar 1;206:131-7. (PMID: 26788689)
J Cardiovasc Magn Reson. 2018 May 21;20(1):32. (PMID: 29783986)
Pediatr Neonatol. 2017 Jun;58(3):211-215. (PMID: 28017577)
J Am Coll Cardiol. 1991 Mar 1;17(3):722-8. (PMID: 1993793)
J Am Coll Cardiol. 2012 Jun 5;59(23):2101-6. (PMID: 22651867)
Arq Bras Cardiol. 2004 Mar;82(3):212-6. (PMID: 15073647)
J Thorac Cardiovasc Surg. 2011 May;141(5):1178-83. (PMID: 21320712)
Congenit Heart Dis. 2017 Jan;12(1):32-39. (PMID: 27558473)
Semin Thorac Cardiovasc Surg Pediatr Card Surg Annu. 2012;15(1):38-45. (PMID: 22424507)
J Thorac Cardiovasc Surg. 2015 Nov;150(5):1212-9. (PMID: 26349593)
J Thorac Cardiovasc Surg. 1992 Nov;104(5):1195-202. (PMID: 1434695)
Dis Chest. 1958 Mar;33(3):297-304. (PMID: 13512138)
Eur J Cardiothorac Surg. 2015 Aug;48(2):316-20; discussion 320-1. (PMID: 25535206)
Heart Lung Circ. 2015 Oct;24(10):996-1001. (PMID: 25911143)
فهرسة مساهمة: Keywords: Cardiac Surgical Procedures; Ebstein Anomaly; Right; Survival Rate; Tricuspid Valve Insufficiency; Ventricular Dysfunction
تواريخ الأحداث: Date Created: 20190801 Date Completed: 20191202 Latest Revision: 20200108
رمز التحديث: 20231215
مُعرف محوري في PubMed: PMC6852467
DOI: 10.21470/1678-9741-2018-0333
PMID: 31364344
قاعدة البيانات: MEDLINE
الوصف
تدمد:1678-9741
DOI:10.21470/1678-9741-2018-0333