Ebstein’s Anomaly Corrected by Tissue Valve: Case Report.
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Date
2008
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Abstract
Ebstein’s anomaly is a rare form of congenital heart disease with incidence of 1% of all congenital
heart diseases. There are two modes of surgical correction of Ebstein’s anomaly: either biventricular
repair with or without tricuspid valve replacement, or palliative univentricular repair consisting of
bidirectional Glenn shunt or Fontan procedure. We treated a case of severe form of Ebstein’s anomaly
with ASD secundum with WPW syndrome. Radiofrequency ablation was done to treat WPW syndrome
preoperatively. Celermajer’s index is a prognostic indicator for tricuspid valve repair or replacement.
On 04.03.08 tricuspid valve was replaced with 31 mm Carpentier-Edwards bovine pericardial valve
under cardiopulmonary bypass. Postoperative period was uneventful. Follow up echo done on
01.06.08 which revealed normally functioning tissue valve found in tricuspid position TR Grade I.
So, in conclusion, preoperative evaluation and workout of Celermajer’s index is essential before
surgical intervention for decision of tricuspid valve repair or replacement. Last but not the least,
any event of arrhythmia should be properly evaluated.
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Sabur S A M A, Rashid Z, Fazel A, Chowdhury M M G, Zaman M, Haq N, Badruddoza, Kabir H, Ali A, Salam A B M, Razzak Sk. Ebstein’s Anomaly Corrected by Tissue Valve: Case Report. Cardiovascular Journal. 2008; 1(1): 112-114.