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J Thorac Cardiovasc Surg 2004;127:1208-1209
© 2004 The American Association for Thoracic Surgery

Brief communication

Symptomatic neonates with Ebstein anomaly

^a Department of Pediatric and Cardiology and Congental Heart Disease, Deutsches Herzzentrum, Technische Universitat Munchen, Munchen, Germany
^b Department Cardio-Thoracic Surgery , Deutsches Herzzentrum, Technische Universitat Munchen, Munchen, Germany

Received for publication September 11, 2003; revisions received October 8, 2003; accepted for publication October 10, 2003.

^* Address for reprints: Andreas Pflaumer, MD, Kinderkardiologie, Deutsches Herzzentrum München, Lazarettstr. 36, D-80636 München, Germany
Pflaumer@dhm.mhn.de

The first 20% of the full text of this article appears below.

Recently there have been significant improvements in the diagnosis and treatment of Ebstein anomaly. Cyanotic neonates with Ebstein anomaly are the subgroup at highest risk. Total mortality rate exceeded 80% before 1986, and a mortality rate of 47% in 1986 to 1996 was reported by Yetman and colleagues.¹ No standardized treatment protocol for these infants has been published in the literature. Early surgical intervention within the first days of life showed good outcome after a modified Starnes operation (closure of the tricuspid and pulmonary valve and an aortopulmonary shunt) in some recent reports. We present the case of a neonate with severe Ebstein anomaly and report on our treatment strategy.

Clinical summary

Immediately after birth, the term neonate presented with severe heart failure and desaturation. Mechanical ventilation and prostaglandin E (PGE) infusion were started. Echocardiography (Figure 1) showed Ebstein anomaly with severe tricuspid and pulmonary valve regurgitation, a widely patent ductus arteriosus, and type II atrial septal . . . [Full Text of this Article]

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