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Surgical Treatment of Ebstein Anomaly in Two Adult Cases: Limitations and Difficulties of Carpentier's Procedure.
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- Yamakawa Tomoji
- Department of Cardiovascular Surgery, Hokkaido University Graduate School of Medicine Department of Surgery, Hokkaido Kin-I-Kyou Central Hospital
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- Murashita Toshihumi
- Department of Cardiovascular Surgery, Hokkaido University Graduate School of Medicine
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- Oka Jun-ichi
- Department of Cardiovascular Surgery, Hokkaido University Graduate School of Medicine
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- Kubota Takehiro
- Department of Cardiovascular Surgery, Hokkaido University Graduate School of Medicine
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- Imamura Michiaki
- Department of Cardiovascular Surgery, Hokkaido University Graduate School of Medicine
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- Shiiya Norihiko
- Department of Cardiovascular Surgery, Hokkaido University Graduate School of Medicine
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- Yasuda Keishu
- Department of Cardiovascular Surgery, Hokkaido University Graduate School of Medicine
Bibliographic Information
- Other Title
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- Ｃａｒｐｅｎｔｉｅｒ法が困難であった成人Ｅｂｓｔｅｉｎ奇形の２手術例
- Limitations and Difficulties of Carpentier's Procedure
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Description
In repair of the tricuspid valve (TV) due to Ebstein's anomaly, mobilization of the anterior leaflet associated with longitudinal right ventricle placation (Carpentier's procedure) has provided good results in both short- and long-term follow-up. However, if the anterior leaflet is small or severely deformed, such repair may be ineffective. We report two cases of Ebstein's anomaly (63 and 53 years old) with deformed anterior leaflets of the TV in whom Carpentier's procedure was not feasible. In one patient, the anterior leaflets were broadly plastered on the right ventricle and Carpentier's procedure was tried. However, the repair was converted to valve replacement because of significant residual regurgitation. The other patient had a cleft in the anterior leaflet, therefore Carpentier's procedure was not suitable. The repair restructured the valve mechanism below the true annulus by using the most mobile leaflets for valve closure (modified Hetzer's procedure). This method of repair could be an alternative method to repair of the TV in Ebstein's anomaly, particularly when the anterior leaflet is deformed.
Journal
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- Japanese Journal of Cardiovascular Surgery
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Japanese Journal of Cardiovascular Surgery 31 (6), 414-417, 2002
The Japanese Society for Cardiovascular Surgery
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Keywords
Details 詳細情報について
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- CRID
- 1390282679681779456
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- NII Article ID
- 130003438630
- 10010322539
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- NII Book ID
- AN00193284
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- ISSN
- 18834108
- 02851474
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- Text Lang
- ja
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- Data Source
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- JaLC
- Crossref
- CiNii Articles
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- Abstract License Flag
- Disallowed