Ebsteins anomaly of the tricuspid valve surgery: Difference between revisions
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Revision as of 17:57, 12 December 2011
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Ebsteins anomaly of the tricuspid valve Microchapters | |
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Diagnosis | |
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Treatment | |
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Case Studies | |
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Ebsteins anomaly of the tricuspid valve surgery On the Web | |
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American Roentgen Ray Society Images of Ebsteins anomaly of the tricuspid valve surgery | |
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Risk calculators and risk factors for Ebsteins anomaly of the tricuspid valve surgery | |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] and Claudia P. Hochberg, M.D. [2]
Associate Editor-In-Chief: Cafer Zorkun, M.D., Ph.D. [3]
Surgery
- Tricuspid valve repair or replacement (when possible repair is preferable to replacement as it is associated with a lower mortality rate and fewer complications).
- Atrial septal defect repair.
- Right atrial plication (unclear whther this improves right ventricular function).
- Cardiac defibrillator implantation.
- Accessory pathways may require surgical intervention or ablation.
Hospital mortality at the Mayo for valve reconstruction is 6.7%. Only 1.6% in the Mayo series required reoperation. Long term follow up in the Mayo series showed 92% to have Class I or II symptoms and a 10 year mortality rate of 8%.
Generally, surgical treatment improves the exercise intolerance from NYHA-FC III or IV to NYHA-FC I or II.
Regardless of severity of the Ebstein’s Anomaly and type of treatment, risk of sudden death remains an important issue in patients with Ebstein's anomaly.
References