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Results of Surgery for Ebstein Anomaly: a Multicenter Study from the European Congenital Heart Surgeons Association

2006Journal article Open access
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dc.contributor.authorSarris, G
dc.contributor.authorGiannopoulos, N
dc.contributor.authorTsoutsinos, A
dc.contributor.authorChatzis, A
dc.contributor.authorKirvassilis, G
dc.contributor.authorBrawn, W
dc.contributor.authorComas, J
dc.contributor.authorCorno, A
dc.contributor.authorCarlo, D
dc.contributor.authorFragata, J
dc.contributor.authorHraska, V
dc.contributor.authorJacobs, J
dc.contributor.authorKrupianko, S
dc.contributor.authorSairanen, H
dc.contributor.authorStellin, G
dc.contributor.authorUrban, A
dc.contributor.authorZiemer, G
dc.date.accessioned2011-10-19T15:51:12Z
dc.date.available2011-10-19T15:51:12Z
dc.date.issued2006
dc.description.abstractOBJECTIVE: Since most centers' experience with Ebstein anomaly is limited, we sought to analyze the collective experience of participating institutions of the European Congenital Heart Surgeons Association with surgery for this rare malformation. METHODS: The records of all 150 patients (median age 6.4 years) who underwent surgery for Ebstein anomaly in the 13 participating Association centers between January 1992 and January 2005 were reviewed retrospectively. Patients with congenitally corrected transposition were excluded. RESULTS: Most patients (81%) had Ebstein disease type B or C and significant functional impairment (61% in New York Heart Association class III or IV) and 16% had prior operations. Surgical procedures (n = 179) included valve replacement (n = 60, 33.5%), valve repair (n = 49, 27.3%), 1(1/2) ventricle repair (n = 46, 25.6%), palliative shunt (n = 13, 7.26%), and other complex procedures (n = 11, 6.14%). There were 20 hospital deaths (operative mortality 13.3%) after valve replacement in 5 patients, valve repair in 3, 1(1/2) ventricle repair in 7, palliative procedures in 3, and miscellaneous procedures in 2. Younger age and palliative procedures were univariate risk factors for operative death, but only age was an independent predictor on multivariable analysis. CONCLUSIONS: Most patients coming to surgery presented in childhood and were significantly symptomatic. More than half underwent valve replacement or repair, but a considerable proportion had severe disease necessitating 1(1/2) ventricle repair or palliative procedures. Operative mortality did not differ significantly among repair, replacement, and 1(1/2) ventricle repair but was associated with palliative procedures for severe disease early in life, young age being the only independent predictor of operative death.por
dc.identifier.citationJ Thorac Cardiovasc Surg. 2006 Jul;132(1):50-7. Epub 2006 Jun 2por
dc.identifier.urihttp://hdl.handle.net/10400.17/419
dc.language.isoengpor
dc.peerreviewedyespor
dc.publisherElsevierpor
dc.subjectDistribuição por Idadepor
dc.subjectAnomalia de Ebsteinpor
dc.subjectEuropapor
dc.subjectVálvulas Cardíacaspor
dc.subjectVentrículos Cardíacospor
dc.subjectMortalidade Hospitalarpor
dc.subjectModelos Logísticospor
dc.subjectAnálise Multivariadapor
dc.subjectCuidados Paliativospor
dc.subjectEstudos Retrospectivospor
dc.subjectResultado de Tratamentopor
dc.titleResults of Surgery for Ebstein Anomaly: a Multicenter Study from the European Congenital Heart Surgeons Associationpor
dc.typejournal article
dspace.entity.typePublication
oaire.citation.endPage57por
oaire.citation.startPage50por
oaire.citation.titleJournal of Thoracic and Cardiovascular Surgerypor
rcaap.rightsopenAccesspor
rcaap.typearticlepor

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