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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,

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1 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, PhD, Shyh-Jye Chen, MD, PhD, Yih-Sharng Chen, MD, PhD, Shu-Chien Huang, MD, PhD  The Annals of Thoracic Surgery  Volume 104, Issue 1, Pages e79-e81 (July 2017) DOI: /j.athoracsur Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions

2 Fig 1 Tricuspid valve plasty. (A) The tricuspid valve showed marked downward displacement of the septal leaflet, and the anterior leaflet was adherent to the right ventricular outflow tract (RVOT). (B) The abnormal adherence of the tricuspid valve was separated from the right ventricular free wall as the “surgical delamination.” (C) The edge of the tricuspid valve was reattached to the normal tricuspid annulus, and (D) good competency was achieved. (ASD = atrial septal defect.) The Annals of Thoracic Surgery  , e79-e81DOI: ( /j.athoracsur ) Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions

3 Fig 2 The right ventricular outflow tract (RVOT) was opened, and the tricuspid valve (TV) anterior leaflet was adherent to the RVOT and also the edge of the ventricular septal defect (VSD) and membranous septum (*). The abnormal adherence of the tricuspid valve was taken down (intercept). (RA = right atrium.) The Annals of Thoracic Surgery  , e79-e81DOI: ( /j.athoracsur ) Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions


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