Rapid Two-Stage Starnes Procedure for a Symptomatic Neonate With Ebstein Anomaly
We present a rapid two-stage Starnes procedure for a seriously symptomatic neonate with the prenatal diagnosis of Ebstein anomaly. At 16 hours after birth, we performed an emergency operation consisting of main pulmonary artery ligation, plication of the right atrial and right ventricular wall, modi...
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Published in | The Annals of thoracic surgery Vol. 90; no. 6; pp. 2073 - 2075 |
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Main Authors | , , , , , , |
Format | Journal Article |
Language | English |
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New York, NY
Elsevier Inc
01.12.2010
Elsevier |
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Abstract | We present a rapid two-stage Starnes procedure for a seriously symptomatic neonate with the prenatal diagnosis of Ebstein anomaly. At 16 hours after birth, we performed an emergency operation consisting of main pulmonary artery ligation, plication of the right atrial and right ventricular wall, modified Blalock-Taussig shunt, and patent ductus arteriosus ligation, without cardiopulmonary bypass. At age 12 days, we then performed the Starnes procedure using a glutaraldehyde-treated autologous pericardial patch with a 4-mm fenestration to close the tricuspid valve orifice. The infant's postoperative course was excellent. A rapid two-stage Starnes procedure is useful for treating a seriously symptomatic neonate with Ebstein anomaly. |
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AbstractList | We present a rapid two-stage Starnes procedure for a seriously symptomatic neonate with the prenatal diagnosis of Ebstein anomaly. At 16 hours after birth, we performed an emergency operation consisting of main pulmonary artery ligation, plication of the right atrial and right ventricular wall, modified Blalock-Taussig shunt, and patent ductus arteriosus ligation, without cardiopulmonary bypass. At age 12 days, we then performed the Starnes procedure using a glutaraldehyde-treated autologous pericardial patch with a 4-mm fenestration to close the tricuspid valve orifice. The infant's postoperative course was excellent. A rapid two-stage Starnes procedure is useful for treating a seriously symptomatic neonate with Ebstein anomaly. |
Author | Yasui, Seiyo, MD Takeda, Yuko, MD Onakatomi, Yasuko, MD Kosaka, Yoshimichi, MD Miyata, Daiki, MD Kajihara, Noriyoshi, MD Asou, Toshihide, MD |
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Cites_doi | 10.1016/S0022-5223(19)36627-9 10.1016/j.athoracsur.2007.03.061 10.1016/j.jtcvs.2005.10.062 10.1016/0735-1097(91)90848-4 10.1007/s002469900261 |
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Keywords | 21 Human Symptomatology Newborn Anesthesia Procedure Anomaly Circulatory system Cardiology |
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References | Sarris, Giannopoulos, Tsoutsinos (bib3) 2006; 132 Knott-Craig, Goldberg, Overholt, Colvin, Kirklin (bib2) 2007; 84 Lang, Oberhoffer, Cook (bib4) 1991; 17 Tanaka, Yamaki, Ohno (bib5) 1998; 19 Starnes, Pitlick, Bernstein (bib1) 1991; 101 Starnes (10.1016/j.athoracsur.2009.12.086_bib1) 1991; 101 Lang (10.1016/j.athoracsur.2009.12.086_bib4) 1991; 17 Tanaka (10.1016/j.athoracsur.2009.12.086_bib5) 1998; 19 Knott-Craig (10.1016/j.athoracsur.2009.12.086_bib2) 2007; 84 Sarris (10.1016/j.athoracsur.2009.12.086_bib3) 2006; 132 |
References_xml | – volume: 17 start-page: 1161 year: 1991 end-page: 1167 ident: bib4 article-title: Pathologic spectrum of malformations of the tricuspid valve in prenatal and neonatal life publication-title: J Am Coll Cardiol contributor: fullname: Cook – volume: 84 start-page: 587 year: 2007 end-page: 592 ident: bib2 article-title: Repair of neonates and young infants with Ebstein's anomaly and related disorders publication-title: Ann Thorac Surg contributor: fullname: Kirklin – volume: 132 start-page: 50 year: 2006 end-page: 57 ident: bib3 article-title: Results of surgery for Ebstein anomaly: a multicenter study from the European Congenital Heart Surgeons Association publication-title: J Thorac Cardiovasc Surg contributor: fullname: Tsoutsinos – volume: 19 start-page: 133 year: 1998 end-page: 138 ident: bib5 article-title: The histology of the lung in neonates with tricuspid valve disease and gross cardiomegaly due to severe regurgitation publication-title: Pediatr Cardiol contributor: fullname: Ohno – volume: 101 start-page: 1082 year: 1991 end-page: 1087 ident: bib1 article-title: Ebstein's anomaly appearing in the neonate publication-title: J Thorac Cardiovasc Surg contributor: fullname: Bernstein – volume: 101 start-page: 1082 year: 1991 ident: 10.1016/j.athoracsur.2009.12.086_bib1 article-title: Ebstein's anomaly appearing in the neonate publication-title: J Thorac Cardiovasc Surg doi: 10.1016/S0022-5223(19)36627-9 contributor: fullname: Starnes – volume: 84 start-page: 587 year: 2007 ident: 10.1016/j.athoracsur.2009.12.086_bib2 article-title: Repair of neonates and young infants with Ebstein's anomaly and related disorders publication-title: Ann Thorac Surg doi: 10.1016/j.athoracsur.2007.03.061 contributor: fullname: Knott-Craig – volume: 132 start-page: 50 year: 2006 ident: 10.1016/j.athoracsur.2009.12.086_bib3 article-title: Results of surgery for Ebstein anomaly: a multicenter study from the European Congenital Heart Surgeons Association publication-title: J Thorac Cardiovasc Surg doi: 10.1016/j.jtcvs.2005.10.062 contributor: fullname: Sarris – volume: 17 start-page: 1161 year: 1991 ident: 10.1016/j.athoracsur.2009.12.086_bib4 article-title: Pathologic spectrum of malformations of the tricuspid valve in prenatal and neonatal life publication-title: J Am Coll Cardiol doi: 10.1016/0735-1097(91)90848-4 contributor: fullname: Lang – volume: 19 start-page: 133 year: 1998 ident: 10.1016/j.athoracsur.2009.12.086_bib5 article-title: The histology of the lung in neonates with tricuspid valve disease and gross cardiomegaly due to severe regurgitation publication-title: Pediatr Cardiol doi: 10.1007/s002469900261 contributor: fullname: Tanaka |
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SubjectTerms | Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy Biological and medical sciences Cardiac Surgical Procedures - methods Cardiology. Vascular system Cardiothoracic Surgery Ebstein Anomaly - surgery Female Heart Atria - abnormalities Heart Atria - surgery Heart Ventricles - abnormalities Heart Ventricles - surgery Humans Infant, Newborn Ligation - methods Medical sciences Pericardium - transplantation Pneumology Pulmonary Artery - abnormalities Pulmonary Artery - surgery Surgery Time Factors Transplantation, Autologous Tricuspid Valve - abnormalities Tricuspid Valve - surgery |
Title | Rapid Two-Stage Starnes Procedure for a Symptomatic Neonate With Ebstein Anomaly |
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