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J Thorac Cardiovasc Surg 2007;133:221-223
© 2007 The American Association for Thoracic Surgery

Surgery for Congenital Heart Disease

Discussion

Dr Jan M. Quaegebeur (New York, NY). Dr da Silva, I would like to congratulate you on the presentation of an ingenious technique. It is interesting to note that although Ebstein’s anomaly is a very rare condition, there have been 3 presentations dedicated to this anomaly in this meeting. Therefore the quest for a better repair of Ebstein’s anomaly continues. You have described your experience over 10 to 12 years with an innovative technique, which tries to improve TV function by realizing a complete coaptation between valvular tissue in comparison or in contrast with the previous repairs by all of us that relied on a monocuspid or bicuspid valve where the coaptation is between the valve leaflets, namely the anterior and posterior leaflets, and the ventricular septum. Forty patients were presented with a low early mortality rate and only 1 late death, which are very good results.

I am not entirely clear about the age of your patients. You said that the mean age was 16.8 years, but I would like it if you could answer briefly how many patients were less than 10 years of age, for instance.

Dr da Silva. Well, the youngest in this series was 22 months old, and the oldest, I think, was 49 years old. Afterward, we had more patients, and among them there was a 3-month-old girl who underwent repair with this technique.

I will say that we have 16 patients younger than 13 years. Therefore 24 patients were older than that age. But I think it is better to use this technique in younger patients, especially those less than 18 years of age.

Dr Quaegebeur. You have provided me with the article and beautiful illustrations, I must say. It happens that last week . . . [Full Text of this Article]

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The cone reconstruction of the tricuspid valve in Ebstein’s anomaly. The operation: early and midterm results

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J. Thorac. Cardiovasc. Surg. 2007 133: 215-223. [Abstract] [Full Text] [PDF]