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Related Experiment Video

Updated: Mar 14, 2026

Fully Endoscopic Mitral Valve Repair with Percutaneous Cannulation of Groin Vessels
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Single-stage, three-fold repair for Ebstein's anomaly.

Ezzeldin A Mostafa1, Ashraf A H El Midany1, Yasser Elnahas1

  • 1Department of Cardiovascular and Thoracic Surgery, Ain-Shams University Hospital, Faculty of Medicine, Cairo, Egypt.

Interactive Cardiovascular and Thoracic Surgery
|October 6, 2016
PubMed
Summary

This study presents a single-stage surgical repair for Ebstein's anomaly, combining tricuspid valve reconstruction with maze and Glenn procedures. The approach demonstrates favorable outcomes, including low mortality and improved valve function for patients with Ebstein's anomaly.

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Area of Science:

  • Cardiovascular Surgery
  • Congenital Heart Disease
  • Cardiac Arrhythmia Management

Background:

  • Ebstein's anomaly repair outcomes depend on tricuspid valve competence, right ventricular function, and arrhythmia presence.
  • Traditional surgical approaches may involve multiple stages or less comprehensive valve repair.

Purpose of the Study:

  • To evaluate the efficacy of a single-stage, three-fold surgical repair for Ebstein's anomaly.
  • To assess outcomes including mortality, valve function, functional class, and arrhythmia control.

Main Methods:

  • A cohort of 37 consecutive Ebstein's anomaly patients underwent a single-stage procedure from 2010-2014.
  • The surgical technique involved cone reconstruction of the tricuspid valve, right atrial electrocautery maze, and bidirectional cavopulmonary anastomosis (Glenn procedure).
Keywords:
Cone reconstruction of tricuspid valveCongenital heart diseaseEbstein's anomalyOne-and-a-half ventricular repair

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  • Patients were followed for a mean of 2.3 years with clinical, ECG, and echocardiographic assessments.

    • Main Results:

    • In-hospital mortality was 2.7% with no late deaths; mean cardiopulmonary bypass and cross-clamp times were 110 and 48.5 minutes, respectively.
    • Significant improvement in tricuspid valve regurgitation (P < 0.0001) and a decrease in cardiothoracic ratio (P < 0.05) were observed.
    • 86.1% of survivors maintained sinus rhythm, with 77.8% in NYHA functional class I post-operatively.

    Conclusions:

    • The single-stage, three-fold repair for Ebstein's anomaly yields favorable outcomes with low mortality and morbidity.
    • This approach achieves durable valve-sparing repair, good mid-term functional results, and enhanced quality of life.
    • The combined procedure effectively addresses valve pathology, arrhythmia, and hemodynamic issues in Ebstein's anomaly.