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Updated: Jan 29, 2026
03:40
Three-Dimensional Printing of a Complex Aortic Anomaly
Published on: November 1, 2018
7.1K
Reconstructive surgery for Ebstein anomaly: three decades of experience
Kevin M Veen1, Mostafa M Mokhles1, Jolien W Roos-Hesselink2
1Department of Cardiothoracic Surgery, Erasmus MC, Rotterdam, Netherlands.
Summary
Tricuspid valve repair for Ebstein anomaly using vertical plication demonstrates excellent long-term outcomes. Cone repair is particularly effective, showing less tricuspid regurgitation progression and durable valve function.
Area of Science:
- Cardiovascular Surgery
- Congenital Heart Disease
- Valvular Heart Disease
Background:
- Ebstein anomaly is a rare congenital heart defect affecting the tricuspid valve.
- Surgical repair aims to restore valve function and improve patient outcomes.
- Vertical plication with deattachment and reattachment of the tricuspid valve has been employed since 1988.
Purpose of the Study:
- To describe the characteristics of patients undergoing tricuspid valve repair for Ebstein anomaly.
- To evaluate the long-term outcomes of this surgical technique.
- To compare the effectiveness of different repair methods, specifically Carpentier-Chauvaud and Cone repair.
Main Methods:
- Retrospective collection of data from patients operated on between 1988 and 2016.
- Kaplan-Meier analysis for survival and freedom from reoperation.
- Mixed models for longitudinal analysis of clinical and echocardiography data.
Main Results:
- 36 patients (mean age 25.4 years) underwent repair, with 58% Carpentier-Chauvaud and 42% Cone repair.
- 25-year survival was 97% ± 3%, with freedom from reoperation at 80% ± 8%.
- Cone repair was associated with less tricuspid regurgitation progression compared to rigid ring repair.
Conclusions:
- Tricuspid valve repair for Ebstein anomaly offers low mortality and morbidity.
- The repair technique provides acceptable reoperation rates and excellent long-term valve function.
- Cone repair is a durable and effective method for treating Ebstein anomaly.
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