Abstract
Cone reconstruction for Ebstein’s anomaly, although effective, is challenging in neonatal cases. Very few reports have discussed recurrent regurgitation. Herein, we report a successful redo tricuspid valve repair for recurrent regurgitation 5 years after cone reconstruction. A 5-year-old boy underwent cone reconstruction for Ebstein’s anomaly in the neonatal period. Although tricuspid regurgitation reduced initially, it subsequently worsened. The mechanisms of regurgitation are dilatation of the anteroseptal commissure, indentation in the septal leaflet, and foreshortening of the anterior leaflet. Augmentation of the anterior leaflet using an elliptic autologous pericardium and mending of the gaping commissure and indentation markedly reduced the regurgitation.
Similar content being viewed by others
References
da Silva JP, Baumgratz JF, da Fonseca L, Franchi SM, Lopes LM, Tavares GM, et al. The cone reconstruction of the tricuspid valve in Ebstein’s anomaly. The operation: early and midterm results. J Thorac Cardiovasc Surg. 2007; 133: 215–23.
Ibrahim M, Tsang V, Caruana M, Hughes ML, Jenkyns S, Perdreau E, et al. Cone reconstruction for Ebstein’s anomaly: Patient outcomes, biventricular function, and cardiopulmonary exercise capacity. J Thorac Cardiovasc Surg. 2015;149:1144–50.
Mizuno M, Hoashi T, Sakaguchi H, Kagisaki K, Kitano M, Kurosaki K, et al. Application of cone reconstruction for neonatal Ebstein anomaly or tricuspid valve dysplasia. Ann Thorac Surg. 2016;101:1811–7.
Alderweireldt AS, De Wolf D. Percutaneous closure of paravalvular leak after cone repair for Ebstein’s anomaly. Catheter Cardiovasc Interv. 2019;93:E46–8.
Dearani J, Said S, O’Leary P, Burkhart H, Barnes R, Cetta F. Anatomic repair of Ebstein’s malformation: lessons learned with cone reconstruction. Ann Thorac Surg. 2013;95:220–8.
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Conflict of interest
None.
Additional information
Publisher's Note
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Supplementary Information
Below is the link to the electronic supplementary material.
Rights and permissions
About this article
Cite this article
Nabeshima, J., Yamagishi, M., Maeda, Y. et al. A case of redo tricuspid valve repair after neonatal cone operation for Ebstein’s anomaly. Gen Thorac Cardiovasc Surg 70, 289–291 (2022). https://doi.org/10.1007/s11748-021-01742-x
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s11748-021-01742-x