A Case of Cone Reconstruction and Aortic Valve Replacement for an Adult Patient Diagnosed with Ebstein’s Anomaly Incidentally during Preoperative Examination of Severe Aortic Regurgitation

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  • Sunadoi Hiroki
    Department of Cardiovascular Surgery, Oji General Hospital
  • Ebuoka Noriyoshi
    Department of Congenital Cardiovascular Surgery, Hokkaido Medical Center for Child Health and Rehabilitation
  • Fusegawa Masato
    Department of Cardiovascular Surgery, Oji General Hospital
  • Asai Hidetsugu
    Department of Congenital Cardiovascular Surgery, Hokkaido Medical Center for Child Health and Rehabilitation
  • Sugiki Takashi
    Department of Cardiovascular Surgery, Oji General Hospital
  • Makino Yutaka
    Department of Cardiovascular Surgery, Oji General Hospital

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  • 重症大動脈弁閉鎖不全症の精査中に偶然見つかった Ebstein 病に対して大動脈弁置換術とCone 手術を同時に施行した1例

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<p>Recently, there have been some reports that cone reconstruction can be performed in the repair of Ebstein's anomaly with acceptable result on a child. On an adult with Ebstein's anomaly, optimal surgical indication and choice of the operative procedure are controversial. A man in his seventies was diagnosed with Ebstein's anomaly incidentally during preoperative examination of severe aortic regurgitation. We performed aortic valve replacement and cone reconstruction, because his tricuspid regurgitation was moderate. There was no severe complication and he was discharged. No sign of recurrence have been observed after 4 months follow up. We present a case in which cone reconstruction and aortic valve replacement were successfully performed on an adult patient diagnosed with Ebstein's anomaly and severe aortic regurgitation.</p>

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