Tricuspid valve correction in Ebstein anomaly - early results

  • Patric Perier, Herz und Gefäss Klinik, Bad Neustadt Germany, Germany
  • Jacek Pajak, SILESIAN CENTER FOR HEART, ZABRZE, POLAND, Poland
  • Jaroslaw Rycaj, SILESIAN CENTER FOR HEART, ZABRZE, POLAND, Poland
  • Szymon Pawlak, SILESIAN CENTER FOR HEART, ZABRZE, POLAND, Poland
  • Marian Zembala, SILESIAN CENTER FOR HEART, ZABRZE, POLAND, Poland

    • The aim of our study is to present our experience and concept of treatment for patients with tricuspid valve regurgitation (TVR) in Ebstein anomaly.
    Material and methods: In last 5 years in our institution where operated on 23 patients with Ebstein anomaly (18 female and 5 male, age from 9 to 60 years medium 25 years). Preoperative NYHA class was: NYHA II - 6 pts (26,1%), NYHA II/III - 9 pts (39,1%), NYHA III - 7 pts (30,4%), NYHA III/IV - 1 pt (4,3%). Preoperative TVR: II/III°- 5 pts (21,7%), III°- 11 pts (47,8%), IV° - 7 pts (30,4%). All the patients where operated in cardiopulmonary bypass and underwent tricuspid valve plasty with use of Carpentier-Edwards annuloplasty rings. “Monocusp” TV correction where done for 4 pts (17,4%) and “bicusps” TV correction for 19 pts (82,6%). In “bicusps” group for 7 pts (30,4%) recently operated pericardial patch was used for creation of posterior leaflet of TV. For all patients we analyze postoperative complications and echocardiography data.
    Result: There was no postoperative death. Postoperative echocardiography showed TVR: O° - 4 pts (17,4%), I° - 14 pts (61,0%), I/II° - 5 pts (21,7%), II/III° - 1 pt (4,3%). All patients after “bicusps” correction showed good TV performance with TVR O and I°, only one patient has TVR I/II°.
    Conclusion: “Bicusps” correction of TV in our experience gives the best result in treatment of patients with Ebstein anomaly.