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Pediatr Neonatol. 2017 Jun;58(3):211-215. doi: 10.1016/j.pedneo.2016.08.004. Epub 2016 Nov 19.

Ebstein's Anomaly: Genetics, Clinical Manifestations, and Management.

Author information

1
Department of Cardiothoracic Surgery, The First Hospital of Putian, Teaching Hospital, Fujian Medical University, Putian 351100, Fujian Province, People's Republic of China. Electronic address: shiminyuan@126.com.

Abstract

Ebstein's anomaly is uncommon. Genetic bases of this congenital heart defect may be related to the mutations in myosin heavy chain 7 and NKX2.5, among others. Asymptomatic patients with Ebstein's anomaly can be conservatively treated and kept under close follow-up, whereas surgical operation is indicated for those patients with evidence of right heart dilation and progressively impaired ventricular systolic function. A biventricular repair consisting of the reconstruction of a competent monocuspid tricuspid valve, right ventriculorrhaphy, subtotal atrial septal defect closure, and aggressive reduction atrioplasty is suitable for most patients, and 1.5-ventricular repair (bidirectional Glenn shunt) is indicated for patients with poor right ventricular function; by contrast, heart transplantation is used in patients with severe left ventricular dysfunction.

KEYWORDS:

Ebstein's anomaly; cardiac surgical procedures; congenital heart defect; genetics; tricuspid valve

PMID:
28017577
DOI:
10.1016/j.pedneo.2016.08.004
[Indexed for MEDLINE]
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