Joseph A. Dearani, MD, Sameh M. Said, MD, Patrick W

Slides:

Advertisements

Similar presentations

Surgical Indications and Results of Mitral Valve Repair in Pediatric Patients With Ventricular Septal Defects Accompanied by Mitral Valve Regurgitation

Advertisements

Sameh M. Said, Harold M. Burkhart, Joseph A. Dearani

Surgical Treatment of Pulmonary Artery Sling and Tracheal Stenosis

The First Cardiac Operation Using Cardiopulmonary Bypass

Tricuspid Valve Repair for Ebstein's Anomaly

Tricuspid Valve Repair With the Cosgrove-Edwards Annuloplasty System

Supra-Annular Mitral Valve Replacement in Children

Complete Atrioventricular Canal: Comparison of Modified Single-Patch Technique With Two-Patch Technique Carl L. Backer, MD, Robert D. Stewart, MD, Frédérique.

Double-Orifice Left Atrioventricular Valve in Patients With Atrioventricular Septal Defects: Surgical Strategies and Outcome Vikas Sharma, MD, Harold.

Successful Robot-Assisted Repair of Congenital Mitral Valve Regurgitation Vijayakumar Raju, MD, Harold M. Burkhart, MD, Frank Cetta, MD, Rakesh M. Suri,

Late Results of Mitral Valve Repair With Glutaraldehyde-Treated Autologous Pericardium Yu Shomura, MD, Yukikatsu Okada, MD, Michihiro Nasu, MD, Tadaaki.

Antonio Maria Calafiore, MD, Michele Di Mauro, MD

Surgically created double orifice repair of tricuspid regurgitation in infants with congenital heart disease Toyoki Fukuda, MD, Ichiro Kashima, MD, Shigeki.

Single-patch, 2-patch, and caval division techniques for repair of partial anomalous pulmonary venous connections: Does it matter? Sameh M. Said, MD,

Tetralogy of Fallot: Results of a Pulmonary Valve-Sparing Strategy

Repair of primum ASD with cleft mitral valve

Aortic Valve Annuloplasty: New Single Suture Technique

Management of Neonatal Ebstein's Anomaly

Aortic Valve Reconstruction of Unicuspid Aortic Valve by Tricuspidization Using Autologous Pericardium Isamu Kawase, MD, Shigeyuki Ozaki, MD, PhD, Hiromasa.

Joseph A. Dearani, MD, Sameh M. Said, MD, Harold M

Pankaj Saxena, FRACS, PhD, Harold M. Burkhart, MD, Hartzell V

Outcome of Surgical Repair of Pulmonary Artery Aneurysms: A Single-Center Experience With 38 Patients Janani S. Reisenauer, MD, Sameh M. Said, MD, Hartzell.

Kimberly A. Holst, MD, Joseph A. Dearani, MD, Sameh Said, MD, Roxann B

Isolated Tricuspid Valve Repair After Metastatic Tumor Resection

Tetralogy of Fallot Repair: How I Teach It

Measurement of Mitral Leaflet and Annular Geometry and Stress After Repair of Posterior Leaflet Prolapse: Virtual Repair Using a Patient-Specific Finite.

Christopher J. Knott-Craig, MD, Steven P. Goldberg, MD, Edward D

Christopher W. Baird, MD, Christian Kreutzer, MD, Stephen P

Eight-Year Outcomes of Tricuspid Annuloplasty Using Autologous Pericardial Strip for Functional Tricuspid Regurgitation Byung-Chul Chang, MD, PhD, Suk-Won.

Ventricularization of the atrialized chamber: A concept of Ebstein's anomaly repair Michael V. Ullmann, MD, Sabine Born, MD, Christian Sebening, MD, Matthias.

Fontan Conversion to One and One Half Ventricle Repair

Maria Kalliopi Konstantinidou, MD, PhD, Neil Moat, MD, PhD

Jorge Sierra, MD, FETCS, Nadia H. Lahlaïdi, MD, Jan T

Tricuspid Valve Repair in Single Ventricle: Timing and Techniques

Ebstein’s Anomaly Assessed by Real-Time 3-D Echocardiography

Tricuspid Leaflet Augmentation to Eliminate Residual Regurgitation in Severe Functional Tricuspid Regurgitation Jong Bum Choi, MD, Nan Yeol Kim, MD,

Commissural Closure for Repair of Mitral Commissural Prolapse

A Systematic Review of Mitral Valve Repair With Autologous Pericardial Leaflet Augmentation for Rheumatic Mitral Regurgitation Christos G. Mihos, DO,

Sameh M. Said, MD, Harold M. Burkhart, MD, Joseph A

Peter Chiu, MD, Amanda Edmonson, MS, Zachary E. Brewer, MD, Y

A Novel Method of Leaflet Reconstruction After Triangular Resection for Posterior Mitral Valve Prolapse Rakesh M. Suri, MD, DPhil, Harold M. Burkhart,

Valve-Sparing Aortic Root Replacement and Neochordal Repair of Complex Aortic Leaflet Pathology for Ruptured Sinus of Valsalva Aneurysm Fistulizing to.

Surgical repair of the congenitally malformed mitral valve in infants and children Elias A Zias, MD, Constantine Mavroudis, MD, Carl L Backer, MD, Lisa.

Bulging Subaortic Septum: An Important Risk Factor for Systolic Anterior Motion After Mitral Valve Repair Sameh M. Said, MD, Hartzell V. Schaff, MD,

Fitsum Lakew, MD, Paul P. Urbanski, MD, PhD

Antonio Maria Calafiore, MD, Michele Di Mauro, MD

Aortic Translocation for the Management of Double-Outlet Right Ventricle and Pulmonary Stenosis With Dextrocardia: Technique to Avoid Coronary Insufficiency

Tricuspid Valve Repair: How I Teach It

Repair of Ebstein’s anomaly in the symptomatic neonate: an evolution of technique with 7-year follow-up Christopher J. Knott-Craig, MD, Edward D. Overholt,

Midterm Follow-Up of Tricuspid Valve Reconstruction Due to Active Infective Endocarditis Roman Gottardi, MD, Jan Bialy, MD, Elena Devyatko, MD, Heinz.

Cardiac arrhythmia in patients undergoing surgical repair of Ebstein’s anomaly Sylvain M Chauvaud, MD, Gianluca Brancaccio, MD, Alain F Carpentier, MD,

Gilles D. Dreyfus, MD, Pierre J. Corbi, MD, K. M

Vikas Sharma, MBBS, Harold M. Burkhart, MD, Joseph A

Nikaidoh Procedure: How I Teach It

Arterial Switch Operation: Operative Approach and Outcomes

Surgical Correction for a Neonate With Ebstein's Anomaly Associated With Tetralogy of Fallot Ling-Yi Wei, MD, Jin-Chung Shih, MD, PhD, En-Ting Wu, MD,

Paul Urbanski, MD, PhD The Annals of Thoracic Surgery

Tricuspid and Aortic Valve and Ventricular Septal Defect Endocarditis: An Unusual Presentation of Acute Q Fever Sebastian Pagni, MD, Anthony Dempsey,

Functional Outcomes of Type I Bicuspid Aortic Valve Repair With Annular Stabilization: Subcommissural Annuloplasty Versus External Subannular Aortic Ring

David T.M Lai, Richard B Chard The Annals of Thoracic Surgery

Pulmonary Valve Repair for Patients With Acquired Pulmonary Valve Insufficiency Sameh M. Said, MD, Richard D. Mainwaring, MD, Michael Ma, MD, Theresa.

Marcelo G. Cardarelli, MD, James S. Gammie, MD, James M

Current surgical therapy for Ebstein anomaly in neonates

Meghana R. Kunkala, MD, Hartzell V

Roland Fasol, MD, Katja Mahdjoobian, MD The Annals of Thoracic Surgery

Management of tricuspid regurgitation in congenital heart disease: Is survival better with valve repair? Sameh M. Said, MD, Joseph A. Dearani, MD, Harold.

John M. Stulak, MD, Harold M. Burkhart, MD, Joseph A

Umar S. Boston, MD, Joseph A. Dearani, MD, Patrick W

Divided Left Atrium (Cor Triatriatum) in the Setting of Common Atrium

Pericardial Patch Augmentation for Reconstruction of Incompetent Bicuspid Aortic Valves Mirko Doss, MD, Reinhard Moid, MD, Jeffrey Paul Wood, MD, Aleksandra.

Presentation transcript:

Anatomic Repair of Ebstein's Malformation: Lessons Learned With Cone Reconstruction Joseph A. Dearani, MD, Sameh M. Said, MD, Patrick W. O'Leary, MD, Harold M. Burkhart, MD, Roxann D. Barnes, MD, Frank Cetta, MD The Annals of Thoracic Surgery Volume 95, Issue 1, Pages 220-228 (January 2013) DOI: 10.1016/j.athoracsur.2012.04.146 Copyright © 2013 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 Technique of tricuspid annular plication, which can be performed in a (A) single inferior site or (B) multiple anterior and inferior sites of the annulus. Multiple plication sites help to avoid an exaggerated plication in one location that could compromise the right coronary artery (RCA [arrow]). Figure 1A adapted from Dearani et al [8] and used with permission of Mayo Foundation for Medical Education and Research. The Annals of Thoracic Surgery 2013 95, 220-228DOI: (10.1016/j.athoracsur.2012.04.146) Copyright © 2013 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 (A) The tricuspid annulus is usually dilated and a flexible annuloplasty ring is typically used. (B) However, in younger patients, a partial ring from the anteroinferior to inferoseptal commissures can be used, and serves to decease the stress on the repair and to support the reconstructed cone. (RCA = right coronary artery.) The Annals of Thoracic Surgery 2013 95, 220-228DOI: (10.1016/j.athoracsur.2012.04.146) Copyright © 2013 The Society of Thoracic Surgeons Terms and Conditions

Fig 3 (A) Reattachment of the septal leaflet (SL) should be done to the ventricular side of the conduction tissue (interrupted arrow), which is usually marked by a small vein (Vein of D). (B) Intraoperative photograph showing the reattachment of the completely mobilized tricuspid valve (TV) leaflets. (AL = anterior leaflet.) Figure 3A adapted from Dearani et al [8] and used with permission of Mayo Foundation for Medical Education and Research. The Annals of Thoracic Surgery 2013 95, 220-228DOI: (10.1016/j.athoracsur.2012.04.146) Copyright © 2013 The Society of Thoracic Surgeons Terms and Conditions

Fig 4 Tricuspid valve anterior leaflet augmentation can be performed using CorMatrix membrane or an autologous pericardial patch to increase the leaflet height and improve coaptation. Several small plications along the annular free edge of the leaflet can also be performed to increase the leaflet height. The Annals of Thoracic Surgery 2013 95, 220-228DOI: (10.1016/j.athoracsur.2012.04.146) Copyright © 2013 The Society of Thoracic Surgeons Terms and Conditions

Fig 5 A triangular patch is may be used to augment the reconstructed cone to avoid tricuspid valve stenosis. The Annals of Thoracic Surgery 2013 95, 220-228DOI: (10.1016/j.athoracsur.2012.04.146) Copyright © 2013 The Society of Thoracic Surgeons Terms and Conditions

Fig 6 (A, B) In case of absent choradae, surgically created neochordae can be made by performing several fenestrations apically in the linearly attached leaflet at the distal one third of the cone to allow unrestricted forward blood flow into the ventricle. Adapted from Dearani et al [8] and used with permission of Mayo Foundation for Medical Education and Research. The Annals of Thoracic Surgery 2013 95, 220-228DOI: (10.1016/j.athoracsur.2012.04.146) Copyright © 2013 The Society of Thoracic Surgeons Terms and Conditions