HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS		QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:

This Article Full Text (PDF) Alert me when this article is cited Alert me if a correction is posted Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to Personal Folders Download to citation manager Permission Requests Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Chauvaud, S. Search for Related Content PubMed PubMed Citation Articles by Chauvaud, S.

J Thorac Cardiovasc Surg 2004;128:798-799
© 2004 The American Association for Thoracic Surgery

Letter to the Editor

Repair of the Ebstein anomaly

Department of Cardio-Vascular Surgery, Hôpital Européen Georges Pompidou, 20 rue Leblanc, 75015 Paris, France

To the Editor:

I read with great interest the article by Chen and colleagues¹ "Early and Medium-Term Results for Repair of Ebstein Anomaly." The results are superb, without hospital mortality and with improvement of the functional condition. The technique proved to be reproducible.

It seems from previous studies² that the Ebstein anomaly is a combination of ventricular and valvular disease. This concept has led my group to develop the use of an associated bidirectional cavopulmonary shunt in severe cases.³

I was surprised by the preoperative right ventricular ejection function, which was normal in all cases except 1 in Dr Chen's series, without quantified data.

My first concern is to know what is meant by the right ventricle. Is it the effective right ventricle below the attachment of the valve or the right ventricle with the atrialized right ventricle? In most of the patients on whom my own group has operated, the right anterior wall was dilated and hypokinetic.⁴ I am interested to know whether this aspect was present in Chen and colleagues' series.¹

The postoperative decrease of right ventricular ejection fraction could be due to the section of abnormal muscular trabeculations. It is in my mind an additional reason to decrease the preload of the right ventricle with a partial Glenn procedure.

	References

Top References

 

1. Chen JM, Mosca RS, Altmann K, Printz BF, Targoff K, Mazzeo PA, et al. Early and medium-term results for repair of Ebstein anomaly. J Thorac Cardiovasc Sur.2004;127:990-999.[Abstract/Free Full Text]
   
2. Celermajer DS, Bull C, Till JA, Cullen S, Vassillikos V, Sullivan ID, et al. Ebstein's anomaly: presentation and outcome from fetus to adult. J Am Coll Cardio.1994;23:170-176.[Abstract]
   
3. Chauvaud S, Fuzellier JF, Berrebi A, Lajos P, Marino JP, Mihaileanu S, et al. Bi-directional cavopulmonary shunt associated with ventriculo and valvuloplasty in Ebstein's anomaly: benefits in high risk patients. Eur J Cardiothorac Sur.1998;13:514-519.
   
4. Chauvaud S, Berrebi A, d'Attellis N, Mousseaux E, Hernigou A, Carpentier A. Ebstein's anomaly: repair based on functional analysis. Eur J Cardiothorac Sur.2003;23:525-531.[Abstract/Free Full Text]
   

This article has been cited by other articles:

				A. Haussler and R. Pretre Surgical correction of Ebstein anomaly: the Zurich approach MMCTS, February 20, 2008; 2008(0220): 2428. [Abstract] [Full Text] [PDF]

This Article Full Text (PDF) Alert me when this article is cited Alert me if a correction is posted Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to Personal Folders Download to citation manager Permission Requests Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Chauvaud, S. Search for Related Content PubMed PubMed Citation Articles by Chauvaud, S.