Ebstein’s anomaly represents 1 % of congenital heart disease, where the
septal and posterior leaflets of the tricuspid valve take origin at a level
lower than the atrio-ventricular junction. This deformity entails many
consequences such as tricusp
id insufficiency, paradoxical contraction of
the atrialised portion of the ventricle, hemodynamic disturbances,
arrhythmias, and right ventricular failure.
During the period between 1/6/1992 to 31/12/1997 we had performed 16
repair operations to Ebstein’s anomaly. WE performed plication of the
atrialised ventricular portion either transversely which was performed in
13 cases, or longitudinally in 3 cases due to extensive deformity of the
tricuspid valve. We used also Carpentier ring for annuloplasty of the
tricuspid valve.
These papers discuss the early and late results of this technique where the
physiological function of the patients improved generally from NYHA III
– IV to NYHA I – II, The contractile function of the right ventricle
improved as well as arrhythmias, while no death occurred between
treated patients.