Key result
Cone repair for adult Ebstein anomaly yields 0% mortality and eliminates severe TR at follow-up.
Why the study?
Ebstein anomaly features near-infinite anatomical variability requiring various surgical techniques, and cone repair can achieve nearly anatomical reconstruction of the tricuspid valve with promising outcomes.
Cohort (n=24)
No
This article details the surgical techniques and clinical experiences of cone repair for adult patients with Ebstein anomaly.
Supports cone repair consideration in adults with Ebstein anomaly; hypothesis-generating pending prospective trials.
Ebstein anomaly is a rare congenital heart malformation typically involving the tricuspid valve and the right ventricle that has a wide range of anatomical and pathophysiological presentations. Various surgical repair techniques for Ebstein anomaly have been reported because of its near-infinite anatomical variability. Cone repair for Ebstein anomaly can achieve nearly anatomical reconstruction of the tricuspid valve with promising outcomes. In this article, the surgical techniques for cone repair in adult patients with Ebstein anomaly are described in detail, and clinical experiences and technically challenging cases are presented.
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Lee et al. (2020) conducted a cohort in Ebstein anomaly (n=24). Cone repair was evaluated on Mortality. Cone repair in adult patients with Ebstein anomaly demonstrated excellent early and mid-term outcomes with 0% mortality and no patients experiencing more than moderate tricuspid regurgitation at follow-up.
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