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Ann Thorac Surg. 2011 Aug;92(2):752-4. doi: 10.1016/j.athoracsur.2011.03.016.

Restoring anterior leaflet continuity: the Spinnaker repair of Ebstein's anomaly.

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Department of Thoracic and Cardiovascular Surgery, Southampton University Hospital-NHS Trust, Southampton, United Kingdom.


Several repair techniques for Ebstein's anomaly include aggressive mobilization of the anterior leaflet and the construction of a monobicuspid valve coapting against the interventricular septum. This can prove difficult when leaflet tissue is of poor quality or several fenestrations reduce leaflet surface. We present a simple and highly reproducible technique for restoring tissue continuity of the anterior leaflet that could represent a possible addendum to the existing array of surgical solutions. Two surgical cases are described. Both patients showed good valve function and trivial tricuspid regurgitation at short-term follow-up.

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