Key result
Cone reconstruction proves feasible as secondary repair for Ebstein anomaly with incomplete AVSD.
Case Report (n=1)
The cone reconstruction (da Silva repair) can be utilized as a secondary surgical strategy for severe right AV valve regurgitation in the rare association of Ebstein's anomaly with AVSD.
Supports feasibility of cone reconstruction as reoperation in pediatric Ebstein anomaly with AVSD; leaves open need for prospective data.
A nine-year-old boy with incomplete atrioventricular septal defect (AVSD) and Ebstein's anomaly had undergone a closure of primum atrial septal defect and repair of right and left AV valves at four years of age. He presented with severe regurgitation of the right AV valve. He underwent further surgery, and a cone reconstruction of the right AV valve was performed. The association of Ebstein's anomaly with AVSD has been reported only rarely. We present a case of this association treated with the previously unreported application of the cone reconstruction (da Silva repair) as a secondary strategy.
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Kumar et al. (2013) conducted a case report in Incomplete atrioventricular septal defect (AVSD) and Ebstein's anomaly (n=1). Cone reconstruction (da Silva repair) was evaluated. Cone reconstruction (da Silva repair) was successfully applied as a secondary strategy in a 9-year-old boy with Ebstein's anomaly and incomplete atrioventricular septal defect.
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