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논문 기본 정보

자료유형
학술저널
저자정보
Min-Seok Kim (Seoul National University Hospital) Hong-Gook Lim (Seoul National University Hospital) Woong Han Kim (Seoul National University Hospital) Jeong Ryul Lee (Seoul National University Hospital) Yong Jin Kim (Seoul National University Hospital)
저널정보
대한심장학회 Korean Circulation Journal Korean Circulation Journal Vol.46 No.5
발행연도
2016.1
수록면
706 - 713 (8page)

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Background and Objectives: The aim of the study is to evaluate the long-term results after a surgical repair of Ebstein’s anomaly. Subjects and Methods: Forty-eight patients with Ebstein’s anomaly who underwent open heart surgery between 1982 and 2013 were included. Median age at operation was 5.6 years (1 day-42.1 years). Forty-five patients (93.7%) demonstrated tricuspid valve (TV) regurgitation of less than moderate degree. When the patients were divided according to Carpentier’s classification, types A, B, C, and D were 11, 21, 12, and 4 patients, respectively. Regarding the type of surgical treatment, bi-ventricular repair (n=38), one-and-a half ventricular repair (n=5), and single ventricle palliation (n=5) were performed. Of 38 patients who underwent a bi-ventricular repair, TV repairs were performed by Danielson’s technique (n=20), Carpentier’s technique (n=11), Cone repair (n=4), and TV annuloplasty (n=1). Two patients underwent TV replacement. Surgical treatment strategies were different according to Carpentier’s types (p<0.001) and patient’s age (p=0.022). Results: There were 2 in-hospital mortalities (4.2%; 1 neonate and 1 infant) and 2 late mortalities during follow-up. Freedom from recurrent TV regurgitation rates at 5, 10, and 15 years were 88.6%, 66.3%, 52.7%, respectively. TV regurgitation recurrence did not differ according to surgical method (p=0.800). Survival rates at 5, 10, and 20 years were 95.8%, 95.8%, and 85.6%, respectively, and freedom from reoperation rates at 5, 10, and 15 years were 85.9%, 68.0%, and 55.8%, respectively. Conclusion: Surgical treatment strategies were decided according to Carpentier’s type and patient’s age. Overall survival and freedom from reoperation rates at 10 years were 95.8% and 68.0%, respectively. Approximately 25% of patients required a second operation for TV during the follow-up.

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참고문헌 (24)

참고문헌 신청
Attenhofer Jost CH / 2005 / Ebstein’s anomaly - review of a multifaceted congenital cardiac condition / Swiss Med Wkly 135:269~281 google schola Krieger EV / 2012 / Diagnosis and management of ebstein anomaly of the tricuspid valve / Curr Treat Options Cardiovasc Med 14:594~607 google schola Attenhofer Jost CH / 2007 / Ebstein’s anomaly / Circulation 115:277~285 google schola Huang CJ / 2000 / Role of electrophysiological studies and arrhythmia intervention in repairing Ebstein’s anomaly / Thorac Cardiovasc Surg 48:347~350 google schola Iturralde P / 2006 / Electrocardiographic characteristics of patients with Ebstein’s anomaly before and after ablation of an accessory atrioventricular pathway / J Cardiovasc Electrophysiol 17:1332~1336 google schola

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