Outcomes of neonatal Ebstein's anomaly without right ventricular forward flow Jae Suk Baek, MD, Jeong Jin Yu, MD, Yu Mi Im, PhD, Tae-Jin Yun, MD, PhD

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Presentation transcript:

Outcomes of neonatal Ebstein's anomaly without right ventricular forward flow Jae Suk Baek, MD, Jeong Jin Yu, MD, Yu Mi Im, PhD, Tae-Jin Yun, MD, PhD The Journal of Thoracic and Cardiovascular Surgery Volume 152, Issue 2, Pages 516-521 (August 2016) DOI: 10.1016/j.jtcvs.2016.03.084 Copyright © 2016 The American Association for Thoracic Surgery Terms and Conditions

Figure 1 A, Clinical course of a neonate with severe Ebstein's anomaly and absent RVFF. RVFF developed in the patient on postnatal day 3 (B), and severe cardiomegaly gradually regressed with the increment of RVFF and closure of patent ductus arteriosus (C). She finally underwent tricuspid annuloplasty and bidirectional cavopulmonary shunt to constitute a 1 1/2 ventricular repair at postnatal 6 months (D). GOSH, Great Ormond Street Hospital. The Journal of Thoracic and Cardiovascular Surgery 2016 152, 516-521DOI: (10.1016/j.jtcvs.2016.03.084) Copyright © 2016 The American Association for Thoracic Surgery Terms and Conditions

Figure 2 Clinical outcomes of neonate with Ebstein's anomaly according to PV morphology. RVFF, Right ventricular forward flow; PV, pulmonary valve; 1 1/2, one-and-a-half ventricular; BV, biventricular; PDA, patent ductus arteriosus; TVP, tricuspid valvuloplasty; RA, right atrial; F/u, follow-up. The Journal of Thoracic and Cardiovascular Surgery 2016 152, 516-521DOI: (10.1016/j.jtcvs.2016.03.084) Copyright © 2016 The American Association for Thoracic Surgery Terms and Conditions

Figure 3 Postnatal survival of the entire cohort. The Journal of Thoracic and Cardiovascular Surgery 2016 152, 516-521DOI: (10.1016/j.jtcvs.2016.03.084) Copyright © 2016 The American Association for Thoracic Surgery Terms and Conditions

Figure 4 Postnatal survival of the 2 groups. NPV, Normal pulmonary valve; APV, abnormal pulmonary valve. The Journal of Thoracic and Cardiovascular Surgery 2016 152, 516-521DOI: (10.1016/j.jtcvs.2016.03.084) Copyright © 2016 The American Association for Thoracic Surgery Terms and Conditions

Figure 5 Changes in the cardiothoracic ratio on a chest x-ray. CT, Cardiothoracic; NPV, normal pulmonary valve; APV, abnormal pulmonary valve. The Journal of Thoracic and Cardiovascular Surgery 2016 152, 516-521DOI: (10.1016/j.jtcvs.2016.03.084) Copyright © 2016 The American Association for Thoracic Surgery Terms and Conditions

Clinical outcomes of the neonates with Ebstein's anomaly according to the PV morphology. The Journal of Thoracic and Cardiovascular Surgery 2016 152, 516-521DOI: (10.1016/j.jtcvs.2016.03.084) Copyright © 2016 The American Association for Thoracic Surgery Terms and Conditions