Objectives: This retrospective study assesses the outcomes of a modified Carpentier's technique for Ebstein's anomaly repair in respect to functional and anatomical recovery of the right ventricle and tricuspid valve.
Patients And Methods: From August 2005 to December 2010, 52 patients with Ebstein's anomaly were operated in Hanoi Heart Hospital, Vietnam using the modified Carpentier's technique: (1) extensive mobilization of the tricuspid leaflet by detachment of the posterior, septal, and the adjacent part of the anterior leaflet; (2) longitudinal plication of the atrialized chamber and the right atrium to reconstruct the right ventricle and reduce the size of the dilated right atrium; (3) relocation of the anterior, posterior, and septal leaflets to the normal tricuspid annulus; and (4) tricuspid annuloplasty.
Results: Mean age was 20 years (3-49 years). Tricuspid regurgitation (in four-grade scale) was reduced from 3.72 ± 0.48 to 1.56 ± 0.48 (p < 0.01) and NYHA functional class was improved from 2.53 ± 0.53 to 1.14 ± 0.35 (p < 0.01). There was one hospital death (1, 95%) due to postoperative severe bleeding. There was no long-term mortality or reoperation after 42.4 months (17-81 months) follow-up.
Conclusion: Satisfactory outcomes can be achieved with complete repair of Ebstein's anomaly using the modified Carpentier's technique.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.1111/jocs.12364 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Modified Fixed Loop-in-Loop Technique in Mitral Valve Repair for Children.
Ann Thorac Surg Short Rep
June 2024
Department of Cardiovascular Surgery, JCHO Kyushu Hospital, Kitakyushu City, Japan.
For adults, the standard procedure for mitral valve repair of Carpentier classification type II mitral regurgitation is reconstruction with artificial chordae. In children, placement of artificial chordae of precise length between the papillary muscle and prolapsed mitral leaflet in the restricted mitral subvalvular space is technically difficult. We successfully performed mitral valve repair in 3 pediatric patients using a modified fixed loop-in-loop technique.
View Article and Find Full Text PDFOral glucocorticoids for skin fibrosis in early diffuse systemic sclerosis: a target trial emulation study from the European Scleroderma Trials and Research group database.
Arthritis Care Res (Hoboken)
November 2024
Geneva University Hospitals, Geneva, Switzerland.
Article Synopsis
- The study aimed to see if adding oral glucocorticoids to immunosuppressive therapy improves skin conditions and safety in patients with early diffuse cutaneous systemic sclerosis (dcSSc).
- It compared two groups: one receiving glucocorticoids combined with immunosuppression, and the other receiving only immunosuppression, assessing changes in the modified Rodnan skin score (mRSS) over about a year.
- Results showed no significant difference in skin score improvement between the groups, indicating that low-dose glucocorticoids didn't provide added benefits for skin fibrosis nor raised the risk of scleroderma renal crisis.
Article Synopsis
- The study investigates how the heart and kidneys utilize ketones as an energy source using a tracer called carbon-11 acetoacetate (C-AcAc) in 10 healthy adults under different fasting and feeding conditions.
- Two models were used to assess metabolism, with the heart following a two-compartment model and the kidneys a three-compartment model; plasma ketone levels increased significantly after consuming D-beta-hydroxybutyrate (D-BHB).
- Findings reveal that C-AcAc uptake differs with age in both organs, and that D-BHB alters the body's response to meals, suggesting potential for using this methodology in future research on heart and kidney health in various conditions.
Chronic coronary syndromes without standard modifiable cardiovascular risk factors and outcomes: the CLARIFY registry.
Eur Heart J
July 2024
Cardiology Department, AP-HP, Hôpital Bichat, 46 Rue Henri Huchard, 75018 Paris, France.
Article Synopsis
- Patients without standard modifiable cardiovascular risk factors (SMuRFs) experience lower in-hospital mortality after a first heart attack compared to those with risk factors, but their long-term outcomes are less understood, especially in women.
- This study analyzed a large cohort of patients with stable coronary artery disease, comparing outcomes based on the presence or absence of SMuRFs over a 5-year period.
- Results showed that SMuRF-less patients had a significantly lower rate of cardiovascular death and non-fatal heart attacks, indicating that having fewer risk factors correlates with better long-term heart health outcomes.
A modified Carpentier classification in transcatheter edge-to-edge repair for mitral regurgitation.
Catheter Cardiovasc Interv
October 2024
Department of Cardiology of The Second Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou, China.
Mitral regurgitation (MR) is the most common heart valve disease, and transcatheter edge-to-edge repair (TEER) has been recommended as a therapy for severe MR patients by guidelines. The classic Carpentier classification used to guide surgical mitral valve repair but is inadequate for mitral TEER (M-TEER). We herein proposed a new modified Carpentier classification named after "type + segment," which is suitable for M-TEER.
View Article and Find Full Text PDFWant AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!