Hostname: page-component-cd9895bd7-fscjk Total loading time: 0 Render date: 2024-12-23T18:41:46.068Z Has data issue: false hasContentIssue false

Successful palliation of Ebstein's malformation on the first day of life following fetal diagnosis

Published online by Cambridge University Press:  19 August 2008

Mary Ann M. Deleon
Affiliation:
Division of Cardiovascular-Tboracic Surgery and Cardiology, Children's Memorial Hospital, Northwestern University Medical School, Chicago, Illinois, USA
Samuel S. Gidding
Affiliation:
Division of Cardiovascular-Tboracic Surgery and Cardiology, Children's Memorial Hospital, Northwestern University Medical School, Chicago, Illinois, USA
Nina Gotteiner
Affiliation:
Division of Cardiovascular-Tboracic Surgery and Cardiology, Children's Memorial Hospital, Northwestern University Medical School, Chicago, Illinois, USA
Carl L. Backer
Affiliation:
Division of Cardiovascular-Tboracic Surgery and Cardiology, Children's Memorial Hospital, Northwestern University Medical School, Chicago, Illinois, USA
Constantine Mavroudis*
Affiliation:
Division of Cardiovascular-Tboracic Surgery and Cardiology, Children's Memorial Hospital, Northwestern University Medical School, Chicago, Illinois, USA
*
Constantine Mavroudis MD, Children's Memorial Hospital, 2300 Children's Plaza, m/c 22, Chicago, IL 60614, USA. Tel 773/880–4378; Fax: 773/880–3054; e-mail [email protected]

Abstract

Abstract Severe Ebstein's malformation has a poor prognosis when diagnosed during the neonatal period. Surgical options that have proved successful in older patients have been associated with high mortality and morbidity in neonates. We report here our success with a policy of induction at term and immediate surgical intervention when Ebstein's malformation was diagnosed prenatally.

Type
Original Articles
Copyright
Copyright © Cambridge University Press 2000

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Celermajer, DS, Cullen, S, Sullivan, ID, Spiegelhalter, DJ, Wyse, RK,Deanfield, JE. Outcome in neonates with Ebstein's anomaly. J Am Coll Cardiol 1992; 19: 10411046.CrossRefGoogle ScholarPubMed
Celermajer, DS, Bull, C, Till, JA et al. Ebstein's anomaly: presentation and outcome from fetus to adult. J Am Coll Cardiol 1994; 23: 170176.CrossRefGoogle ScholarPubMed
Mair, DD, Seward, JB, Driscoll, DJ, Danielson, GH.Surgical repair of Ebstein's anomaly: selection of patients and early and late operative results. Circulation 1985; 72: 11701176.Google ScholarPubMed
Shnna, A, Seward, JB, Tajik, AJ, Hagler, DJ, Danielson, GK. Two dimensional echocardiographic surgical correlation in Ebstein's anomaly: preoperative determination of patients requiring tncuspid valve plication vs replacement. Circulation 1983, 68: 534544.CrossRefGoogle Scholar
Yetman, AT, Freedom, RM, McCnndle, BW. Outcome m cyanotic neonates with Ebstein's anomaly Am J Cardiol 1998; 81: 749754.CrossRefGoogle Scholar
Starnes, VA, Pitlick, PT, Bernstein, D, Griffin, ML, choy, M, Shumway, NE. Ebstein' anomaly appearing in the neonate, A new surgical approach. J Thorac cardiovasc surg 1991 101: 10821087.CrossRefGoogle ScholarPubMed
Heragu, NP, Scott, WA. Heart rate variability in healthy children and in those with congenital heart disease both before and after operation. Am J Cardiol 1999; 83: 16541657.CrossRefGoogle ScholarPubMed
Watson, H.Natural history of Ebstein's anomaly of tricuspid valve in childhood and adolescence: an international cooperative study of 505 cases. Br Heart J 1974; 36: 417427.CrossRefGoogle ScholarPubMed
Tuzcu, EM, Moodie, DS, Ghazi, F et al. Ebstein's anomaly: natural and unnatural history. Cleve Clin J Med 1989; 56: 614618.CrossRefGoogle ScholarPubMed
Marr, DD.Management of Ebstein's anomaly. cleve clin J Med 1989;56: 626627.CrossRefGoogle Scholar
Hardy, Kl,May, IA, Webster, CA, Kimball, KG.Ebstein's anomaly: a functional concept and successful definitive repair. J Thorac Cardiovasc Surg 1964; 48: 927940.CrossRefGoogle ScholarPubMed
Carpentier, A, Chauvaud, S, Mace, L et al. A new reconstructive operation for Ebstein's anomaly of the tricuspid valve. J Thorac Cardiovasc Surg 1988, 96: 92101.CrossRefGoogle ScholarPubMed
Danielson, GK, Maloney, JD, Devloo, RA.Surgical repair of Ebstein's anomaly. Mayo Clin Proc 1979; 54: 185192.Google ScholarPubMed
Westaby, S, Karp, RB, Kirklin, JW, Waldo, AL, Blackstone, EH.surgical treatment in Ebstein's malformation. Ann Thorac surg 1982; 34: 388395.CrossRefGoogle ScholarPubMed
Sharland, GK, Allan, LD.Screening for congenital heart disease prenatally. Results of a 2½ year study in the South East Thames region Br J Obstet Gynaecol 1992; 99: 220225.Google ScholarPubMed
Allan, LD, Sharland, GK, Milburn, A et al. prospective diagnosis of 1,006 consecutive cases of congenital heart disease in the fetus. J Am coll cardiol 1994; 23 14521458.CrossRefGoogle Scholar
Hornberger, LK, Sahn, DJ, Kleinman, CS, copel, SA, Reed, KL.Tricuspid value disesae with significant tricuspid insufficiency in the fetus: diagnosus and outcome. J Am coll cardiol 1991; 17: 167173.CrossRefGoogle Scholar