This Article Full Text (PDF) Alert me when this article is cited Alert me if a correction is posted Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Download to citation manager Request Permissions Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Shiina, A. Articles by Danielson, G. K. Search for Related Content PubMed PubMed Citation Articles by Shiina, A. Articles by Danielson, G. K.

Circulation, Vol 68, 534-544, Copyright © 1983 by American Heart Association

ARTICLES

Two-dimensional echocardiographic--surgical correlation in Ebstein's anomaly: preoperative determination of patients requiring tricuspid valve plication vs replacement

A Shiina, JB Seward, AJ Tajik, DJ Hagler and GK Danielson

Two-dimensional echocardiographic features were correlated with surgical findings in 25 patients with Ebstein's anomaly (age 7 days to 71 years). There was excellent agreement between echocardiographic and surgical findings. Echocardiographic observations of anterior leaflet tethering and restriction of motion, as well as small functional right ventricle, were the strongest noninvasively obtained indicators for valve replacement surgery. Plication/annuloplasty (plastic repair) was performed in 17 patients. This group differed from the group needing valve-excision surgery in that the anterior leaflet was elongated, was not tethered, and showed large excursion. These observations support the use of two-dimensional echocardiography as an excellent means for preoperative anatomic assessment of Ebstein's anomaly. This method allowed us to determine which patients were amenable to tricuspid valve excision or plastic repair. A noninvasively derived index of anatomic severity is proposed for easier recognition of patient subgroups.

This article has been cited by other articles:

				I. A. Russell, K. Rouine-Rapp, G. Stratmann, and W. C. Miller-Hance Congenital heart disease in the adult: a review with internet-accessible transesophageal echocardiographic images. Anesth. Analg., March 1, 2006; 102(3): 694 - 723. [Full Text] [PDF]

				A. Khositseth, G. K. Danielson, J. A. Dearani, T. M. Munger, and C. J. Porter Supraventricular tachyarrhythmias in Ebstein anomaly: Management and outcome J. Thorac. Cardiovasc. Surg., December 1, 2004; 128(6): 826 - 833. [Abstract] [Full Text] [PDF]

				C. Schreiber, A. Cook, S. Y. Ho, N. Augustin, and R. H. Anderson MORPHOLOGIC SPECTRUM OF EBSTEIN'S MALFORMATION: REVISITATION RELATIVE TO SURGICAL REPAIR J. Thorac. Cardiovasc. Surg., January 1, 1999; 117(1): 148 - 155. [Abstract] [Full Text] [PDF]