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Historical and modern aspects of surgical treatment of Ebstein’s anomaly
- Source :
- Bûlleten' Sibirskoj Mediciny, Vol 19, Iss 1, Pp 190-202 (2020)
- Publication Year :
- 2020
- Publisher :
- Siberian State Medical University (Tomsk), 2020.
-
Abstract
- Congenital heart defects (CHDs) are recognized as the most common type of congenital pathology. The frequency of CHDs reaches 2.4–14.2 % per 1 000 newborns. Ebstein’s anomaly is a rare and complex pathology that can be manifested clinically at any age. Drug treatment is ineffective in patients with this pathology. Preference in this case should be given to surgical treatment. Cardiac surgeons must know basic methods of correction of this pathology, their advantages, and disadvantages. The literature review shows the evolution of Ebstein’s anomaly surgical correction techniques from the middle of the XX century to the present moment. The description of the main tricuspid valve repair techniques, which had an impact on the development of Ebstein’s anomaly surgery, is given. The volume of flap tissue that can be separated from the wall of the right ventricle is the key to successful valve repair. A case of tricuspid valve repair and replacement is given. “Cone” reconstruction is the most promising modern technique. There is also a need in new techniques and modification of the existing ones. The works aimed at their improvement and elimination of imperfections are promising.
- Subjects :
- medicine.medical_specialty
Tricuspid valve
ebstein’s anomaly
business.industry
tricuspid valve repair
Surgical correction
medicine.disease
congenital heart defects
Present moment
Surgery
Drug treatment
medicine.anatomical_structure
Ventricle
Ebstein's anomaly
medicine
Molecular Medicine
Medicine
In patient
tricuspid valve replacement
TRICUSPID VALVE REPAIR
business
Subjects
Details
- Language :
- English
- ISSN :
- 18193684 and 16820363
- Volume :
- 19
- Issue :
- 1
- Database :
- OpenAIRE
- Journal :
- Bûlleten' Sibirskoj Mediciny
- Accession number :
- edsair.doi.dedup.....029e8417af7e24b7a14168af47c597ea