Publications by authors named "Carlen A Gomez-Fifer"
Management and long-term outcome of neonatal Ebstein anomaly.
J Thorac Cardiovasc Surg
February 2010
Objective: The objective of this study was to review the long-term results of symptomatic patients with Ebstein anomaly in the neonatal period.
Methods: The medical records of 40 neonates with a diagnosis of Ebstein anomaly who were admitted to our institution between January 1988 and June 2008 were retrospectively reviewed. Primary outcomes studied included patient survival and need for reintervention.
Article Synopsis
- - The study highlights a lesser concern for coronary anomalies in left-sided congenital heart conditions like hypoplastic left heart syndrome (HLHS) compared to other heart lesions, but emphasizes their significant impact on surgical outcomes when dealing with the ascending aorta.
- - Four patients with left-sided congenital heart anomalies are discussed, showing that unrecognized coronary anomalies led to surgical complications in two cases, while preoperative identification helped modify surgical approaches in the other two.
- - The authors recommend incorporating thorough coronary artery assessment into routine echocardiographic evaluations for patients with left-sided congenital heart lesions needing surgery to improve safety and outcomes.