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KMID : 0364020100430050518
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Korean Journal of Thoracic and Cardiovascular Surgery
2010 Volume.43 No. 5 p.518 ~ p.521
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Right Ventricle Exclusion in Severe Neonatal Ebstein’s Anomaly
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Min Sun-Kyung
Kim Woong-Han
Lee Young-Ok
Seong Yong-Won
Park Sung-Joon
Choi Jin-Ho
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Abstract
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A one-day-old baby was transferred for cyanosis and heart murmur. Echocardiographic evaluation revealed that he had severe neonatal Ebstein’s anomaly (Carpentier type C), pulmonary atresia, and pulmonary circulation via patent ductus arteriosus. Because the wall of the atrialized right ventricle was very thin, showed decreased contractility, and the small right ventricle showed pulmonary atresia, we decided that a two-ventricular repair was impossible. When the patient was one-month-old, he underwent right atrium reduction-plasty, a right ventricular exclusion procedure (including atrialized right ventricle resection and functional right ventricle plication), and right modified Blalock-Taussig shunt. He was discharged without specific problems. He received a bidirectional cavopulmonary shunt successfully at 4 months later.
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KEYWORD
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Right ventricle, Congenital heart disease, Ebstein’s anomaly
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