Ebstein's anomaly is an unusual and a rare congenital cardiac malformation but characteristic abnormality of the development of the tricuspid valve, right atrium and ventricle. The characteristic findings are a displaced tricuspid valve with a
septal
leaflet spiralling into the right ventricle. The surgical correction is variable and are left unsolved problem in surgical treatment of anomaly.
Between January 1988 & December 1995, we experienced ll cases of Ebstein's anomaly and associated cardiac anomalies are ASD, PFO, ASD with VSD. The typically displaced tricuspid valve leaflet was found in all cases. In the NYHA functional
classification, three were in class II, seven were in class III, and one was in class IV.
Nine patients were operated by tricuspid annuloplasty & plication with Danielson's method and two patients were done by tricuspid valve replacement with plication, and in all cases associated anomaly was corrected. Postoperatively, five patients
suffered from complication-low cardiac output syndrome, arrhythmia and wound infection. There was no operative mortality and the postoperative coures were relatively good conditions with more improvement of symptoms.
|