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Rev. bras. cir. cardiovasc ; 34(5): 511-516, Sept.-Oct. 2019. tab, graf
Artigo em Inglês | LILACS | ID: biblio-1042045

RESUMO

Abstract Objective: This study aimed to evaluate Ebstein's anomaly surgical correction and its early and long-term outcomes. Methods: A retrospective analysis of 62 consecutive patients who underwent surgical repair of Ebstein's anomaly in our institution from January 2000 to July 2016. The following long-term outcomes were evaluated: survival, reoperations, tricuspid regurgitation, and postoperative right ventricular dysfunction. Results: Valve repair was performed in 46 (74.2%) patients - 12 of them using the Da Silva cone reconstruction; tricuspid valve replacement was performed in 11 (17.7%) patients; univentricular palliation in one (1.6%) patient; and the one and a half ventricle repair in four (6.5%) patients. The patients' mean age at the time of surgery was 20.5±14.9 years, and 46.8% of them were male. The mean follow-up time was 8.8±6 years. The 30-day mortality rate was 8.06% and the one and 10-year survival rates were 91.9% both. Eleven (17.7%) of the 62 patients required late reoperation due to tricuspid regurgitation, in an average time of 7.1±4.9 years after the first procedure. Conclusion: In our experience, the long-term results of the surgical treatment of Ebstein's anomaly demonstrate an acceptable survival rate and a low incidence of reinterventions.


Assuntos
Humanos , Masculino , Feminino , Lactente , Pré-Escolar , Criança , Adolescente , Adulto , Pessoa de Meia-Idade , Idoso , Adulto Jovem , Valva Tricúspide/cirurgia , Anomalia de Ebstein/cirurgia , Complicações Pós-Operatórias/etiologia , Reoperação/estatística & dados numéricos , Fatores de Tempo , Insuficiência da Valva Tricúspide/etiologia , Índice de Gravidade de Doença , Estudos Retrospectivos , Resultado do Tratamento , Disfunção Ventricular Direita/etiologia , Anomalia de Ebstein/complicações , Anomalia de Ebstein/mortalidade , Estimativa de Kaplan-Meier , Procedimentos Cirúrgicos Cardíacos/efeitos adversos , Procedimentos Cirúrgicos Cardíacos/métodos , Procedimentos Cirúrgicos Cardíacos/mortalidade
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