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December 23, 2013Congenital Heart Disease

Cone Reconstruction in Children with Ebstein Anomaly: The Mayo Clinic Experience

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Why the study?

Does cone reconstruction provide safe and durable outcomes in children and young adults with Ebstein anomaly?

Population

84 patients < 21 years old with Ebstein anomaly who underwent surgery, mean age 10.1 ± 5.9 years, 54% male.

Design

Cohort

Follow-up

mean 0.8 ± 0.2 years (longest 6.5 years)

Authors

HAHeather N. AndersonMayo Clinic in ArizonaJDJoseph A. DearaniMayo ClinicSSSameh M. SaidPediatric / Congenital Cardiology

Discussion

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Implication

Supports cone reconstruction to avoid replacement in Ebstein anomaly; leaves open long-term durability in larger cohorts.

Structured PICO

Does cone reconstruction provide safe and durable outcomes in children and young adults with Ebstein anomaly?

P
Population
84 patients < 21 years old with Ebstein anomaly who underwent surgery, mean age 10.1 ± 5.9 years, 54% male.
I
Intervention
Cone reconstruction (CR) surgery
O
Outcome
Postoperative outcomes including early death, early CR breakdowns requiring reoperation, and successful CR at hospital dischargehard clinical

Cone reconstruction in children and young adults with Ebstein anomaly is associated with low early mortality and excellent short-term durability, precluding valve replacement in the vast majority of patients.

Cite This Study

Anderson et al. (2013) studied this question.

synapsesocial.com/papers/6a0fdc60d8c5cf602efd413chttps://doi.org/10.1111/chd.12155
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