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https://www.readbyqxmd.com/read/29783986/impact-of-the-cone-operation-on-left-ventricular-size-function-and-dyssynchrony-in-ebstein-anomaly-a-cardiovascular-magnetic-resonance-study
#1
Rebecca S Beroukhim, Linyuan Jing, David M Harrild, Brandon K Fornwalt, Abba Mejia-Spiegeler, Jonathan Rhodes, Sitaram Emani, Andrew J Powell
BACKGROUND: In addition to tricuspid regurgitation (TR) and right ventricular (RV) enlargement, patients with Ebstein anomaly are at risk for left ventricular (LV) dysfunction and dyssynchrony. We studied the impact of the cone tricuspid valve reconstruction operation on LV size, function, and dyssynchrony. METHODS: All Ebstein anomaly patients who had both pre- and postoperative cardiovascular magnetic resonance (CMR) studies were retrospectively identified. From cine images, RV and LV volumes and ejection fractions (EF) were calculated, and LV circumferential and longitudinal strain were measured by feature tracking...
May 21, 2018: Journal of Cardiovascular Magnetic Resonance
https://www.readbyqxmd.com/read/29777671/surgical-management-and-outcomes-of-ebstein-anomaly-in-neonates-and-infants-a-society-of-thoracic-surgeons-congenital-heart-surgery-database-analysis
#2
Kimberly A Holst, Joseph A Dearani, Sameh M Said, Ryan R Davies, Christian Pizarro, Christopher Knott-Craig, T K Susheel Kumar, Vaughn Starnes, S Ram Kumar, Sara K Pasquali, Dylan P Thibault, James M Meza, Kevin D Hill, Karen Chiswell, Jeffrey P Jacobs, Marshall L Jacobs
BACKGROUND: Ebstein anomaly (EA) encompasses a broad spectrum of morphology and clinical presentation. Those who are symptomatic early in infancy are generally at highest risk, but there are limited data regarding multi-centric practice patterns and outcomes. We analyzed multi-institutional data concerning operations and outcomes in neonates and infants with EA. METHODS: Index operations reported in the STS Congenital Heart Surgery Database (2010-2016) were potentially eligible for inclusion...
May 16, 2018: Annals of Thoracic Surgery
https://www.readbyqxmd.com/read/29768659/influence-of-pregnancy-on-cardiac-function-and-hemodynamics-in-women-with-ebstein-s-anomaly
#3
Miki Kanoh, Kei Inai, Tokuko Shinohara, Eriko Shimada, Mikiko Shimizu, Hirofumi Tomimatsu, Masaki Ogawa, Toshio Nakanishi
INTRODUCTION: We examined the perinatal outcomes and right ventricular function before pregnancy, during pregnancy, and after delivery in women with Ebstein's anomaly. MATERIAL AND METHODS: We retrospectively investigated the clinical course and mode of delivery and monitored hemodynamic parameters throughout pregnancy in 17 women with Ebstein's anomaly, who delivered at our institution during the period of 1995-2015. RESULTS: Eight women, including nine pregnancies, underwent elective cesarean section, and nine women, including 14 pregnancies, underwent vaginal delivery...
May 16, 2018: Acta Obstetricia et Gynecologica Scandinavica
https://www.readbyqxmd.com/read/29756160/fetal-and-postnatal-echocardiographic-diagnosis-of-ebstein-anomaly-of-the-mitral-valve
#4
Safwat Aly, John Bokowski, Karim Diab, Brie Ann Muller
Ebstein anomaly of mitral valve (MV) is an extremely rare congenital heart disease. In the current report, we present a case of Ebstein of MV that was diagnosed prenatally. Fetal echocardiogram showed that the posterior leaflet of MV was tethered to the lateral wall of left ventricle (LV) with downward displacement into LV cavity. Postnatal transthoracic and transesophageal echocardiograms confirmed the diagnosis with apical displacement of the level of coaptation MV into the LV cavity. To the best of our knowledge, fetal diagnosis of Ebstein anomaly of MV has not yet been reported in the medical literature...
May 14, 2018: Pediatric Cardiology
https://www.readbyqxmd.com/read/29730694/intracardiac-echocardiography-to-guide-catheter-ablation-of-an-accessory-pathway-in-ebstein-s-anomaly-a-case-report
#5
Gabriel Cismaru, Lucian Muresan, Radu Rosu, Mihai Puiu, Gabriel Gusetu, Rodica Toganel, Dana Pop, Dumitru Zdrenghea
We present the case of a 17-year-old girl with Ebstein anomaly and repeated episodes of reentrant tachycardia due to a right posterior accessory pathway. Catheter ablation was performed using intracardiac echocardiography. A ViewFlex Xtra probe was inserted and showed an anormal tricuspid valve with elongated anterior leaflet and low insertion of the septal leaflet towards the apex. The anatomical annulus was identified by the course of the right coronary artery. RF application on the posterior annulus stopped the reentrant arrhythmia...
May 2, 2018: Medical Ultrasonography
https://www.readbyqxmd.com/read/29730350/360%C3%A2-cone-reconstruction-for-ebstein-s-anomaly
#6
Michael E Mitchell, Viktor Hraska, Peter C Kouretas
Several modifications of the Cone Procedure as first described by da Silva have been reported. We have employed a complete 360° leaflet detachment coupled with a 60° counterclockwise rotation in performing the Cone Procedure in children and adults. We feel that complete leaflet detachment coupled with counterclockwise rotation provides for both better alignment of the leaflets and subvalvar apparatus as well as a more symmetrical distribution of tension following leaflet reattachment, potentially resulting in better valve function and longevity of repair...
May 3, 2018: Annals of Thoracic Surgery
https://www.readbyqxmd.com/read/29730348/epicardial-intraoperative-3-d-mapping-of-wolff-parkinson-white-in-a-child-with-ebstein-s-anomaly
#7
James C Perry, Andras Bratincsak, Suzanne Shepard, Matthew R Williams, Joseph Loslo, Raghav Murthy, John J Lamberti
Catheter ablation of arrhythmias in small patients has inherent significant risk due to patient, catheter, and lesion size. Heart block, perforation and coronary damage may occur. This report shows adaptation of a 3-D electroanatomic mapping system for intraoperative use in a small patient with Ebstein's anomaly undergoing Cone procedure and bidirectional Glenn. Use of this technique gave clear identification of the epicardial insertion points of two accessory pathways causing Wolff-Parkinson-White and resistant episodes of supraventricular tachycardia...
May 3, 2018: Annals of Thoracic Surgery
https://www.readbyqxmd.com/read/29722467/wide-complex-tachycardia-in-a-patient-with-ebstein-s-anomaly
#8
Ramanan Kumareswaran, David S Frankel
No abstract text is available yet for this article.
May 3, 2018: Journal of Cardiovascular Electrophysiology
https://www.readbyqxmd.com/read/29692378/outcomes-of-ebstein-s-anomaly-patients-treated-with-tricuspid-valvuloplasty-or-tricuspid-valve-replacement-experience-of-a-single-center
#9
Bin Li, Han-Song Sun, Shi-Wei Pan, Jian-Ping Xu
Background: The incidence of Ebstein's anomaly is extremely low, and except for the Mayo Clinic, no cardiac center has reported on a sufficient number of patients. The aim of our study was to report the outcomes of Ebstein's anomaly patients treated with tricuspid valvuloplasty (TVP) or tricuspid valve replacement (TVR). Methods: TVP or TVR was performed in 245 patients from July 2006 to April 2016. We reviewed patients' records and contacted patients via outpatient service and over the telephone...
May 5, 2018: Chinese Medical Journal
https://www.readbyqxmd.com/read/29679990/three-dimensional-echocardiographic-evaluation-of-ebstein-s-anomaly-of-the-tricuspid-valve-in-a-patient-with-hypoplastic-left-heart-syndrome
#10
Courtney Cassidy, Max B Mitchell, Pei-Ni Jone
We report three-dimensional imaging of a rare finding of Ebstein's anomaly of the tricuspid valve in a patient with hypoplastic left heart syndrome, which has been previously reported only by two-dimensional echocardiography. A fetal echocardiogram was performed at 19 weeks that showed a moderately hypoplastic left ventricle, severely hypoplastic mitral valve, a severely hypoplastic aortic valve, and a dysplastic tricuspid valve. Post Caesarean delivery at 40 weeks of gestation, a transthoracic echocardiogram confirmed the findings seen on the fetal echocardiogram...
April 22, 2018: Cardiology in the Young
https://www.readbyqxmd.com/read/29661708/the-caveats-of-cardiac-imaging-in-ebstein-anomaly
#11
EDITORIAL
Matthias Greutmann, Emanuela R Valsangiacomo Buechel, Christine Attenhofer Jost
No abstract text is available yet for this article.
February 20, 2018: Trends in Cardiovascular Medicine
https://www.readbyqxmd.com/read/29589379/results-and-factors-associated-with-adverse-outcome-after-tricuspid-valve-replacement
#12
Paweł Litwiński, Piotr Kołsut, Tadeusz Sitko, Tomasz Zieliński, Piotr Hoffman, Tomasz Hryniewiecki, Jacek Różański, Mariusz Kuśmierczyk
BACKGROUND: This retrospective analysis of patients with severe tricuspid valve disease, who underwent tricuspid valve replacement (TVR) for either tricuspid regurgitation or stenosis, represents an attempt to determine the factors that predict poor hospital and long-term survival. METHODS: The study population consisted of 86 patients, 65 female and 21 male, who underwent TVR with or without concomitant surgical procedures between 2000 and 2010 at our institution...
March 28, 2018: Kardiologia Polska
https://www.readbyqxmd.com/read/29587525/angiographic-aspect-of-longstanding-starr-edwards-valve-for-type-c-ebstein-anomaly
#13
Lucio Careddu, Francesco Dimitri Petridis, Gaetano Domenico Gargiulo
No abstract text is available yet for this article.
January 1, 2018: Asian Cardiovascular & Thoracic Annals
https://www.readbyqxmd.com/read/29579231/ebstein-s-or-prescher-s-anomaly
#14
Justin T Tretter, Robert H Anderson
No abstract text is available yet for this article.
March 21, 2018: European Heart Journal
https://www.readbyqxmd.com/read/29569399/identification-of-clinically-relevant-phenotypes-in-patients-with-ebstein-anomaly
#15
Rodrigo Cabrera, Marta Catalina Miranda-Fernández, Victor Manuel Huertas-Quiñones, Marisol Carreño, Ivonne Pineda, Carlos M Restrepo, Claudia Tamar Silva, Rossi Quero, Juan David Cano, Diana Carolina Manrique, Camila Camacho, Sebastián Tabares, Alberto García, Néstor Sandoval, Karen Julieth Moreno Medina, Rodolfo José Dennis Verano
BACKGROUND: Ebstein anomaly (EA) is a heterogeneous congenital heart defect (CHD), frequently accompanied by diverse cardiac and extracardiac comorbidities, resulting in a wide range of clinical outcomes. HYPOTHESIS: Phenotypic characterization of EA patients has the potential to identify variables that influence prognosis and subgroups with distinct contributing factors. METHODS: A comprehensive cross-sectional phenotypic characterization of 147 EA patients from one of the main referral institutions for CHD in Colombia was carried out...
March 22, 2018: Clinical Cardiology
https://www.readbyqxmd.com/read/29568912/clinical-study-of-prenatal-ultrasonography-combined-with-t%C3%A2-box-transcription-factor-1-as-a-biomarker-for-the-diagnosis-of-congenital-heart-disease
#16
Bingcheng Guo, Jing Xiao, Long Li, Shuanglong Wang, Lijuan Wang, Shuyong Liu
Congenital heart disease (CHD) seriously threatens fetal health. Therefore, prenatal examination to detect deformity is extremely important. The present study aimed to investigate the clinical application value of prenatal ultrasonography combined with molecular biology methods in the diagnosis of fetal CHD. A total of 1,000 pregnant women who had received fetal ultrasonography to examine fetal CHD were enrolled. Ultrasounds were performed for fetal heart examination and diagnosis, mainly on fetal heart position, size, structure and function, and heart valve morphology and function...
March 14, 2018: Molecular Medicine Reports
https://www.readbyqxmd.com/read/29567665/paediatric-ebstein-s-anomaly-how-clinical-presentation-predicts-mortality
#17
Lianne M Geerdink, Tammo Delhaas, Willem A Helbing, Gideon J du Marchie Sarvaas, Henriette Ter Heide, Lieke Rozendaal, Chris L de Korte, Petronella G M Peer, Irene M Kuipers, Livia Kapusta
BACKGROUND: Forecasting the prognosis of a child when diagnosed with Ebstein's anomaly is difficult. We, therefore, studied which factors at the time of diagnosis are associated with death during childhood. METHODS: All consecutive patients (0-18 years) diagnosed with Ebstein's anomaly in the Netherlands between 1980 and 2014 were included. Survival curves were obtained using the Kaplan-Meier method. By using the Cox proportional hazard model, we analysed the factors (at diagnosis) that were associated with death...
March 22, 2018: Archives of Disease in Childhood
https://www.readbyqxmd.com/read/29506653/has-the-gloom-lifted-on-genome-wide-association-studies
#18
Richard P Ebstein
No abstract text is available yet for this article.
April 1, 2018: Biological Psychiatry
https://www.readbyqxmd.com/read/29501452/the-role-of-the-oxytocin-neurophysin-i-gene-in-contributing-to-human-personality-traits-promoting-sociality
#19
Anne Chong, Soo Hong Chew, Poh San Lai, Richard P Ebstein, Jean-Philippe Gouin
Oxytocin (OT) plays a salient role in contributing to the high levels of human sociality that characterize our species. Across the lifespan this nonapeptide promotes prosocial behaviors and modulates stress responses. Curiously, the OXT-Neurophysin I gene has been little studied despite the fact this is the structural gene for the OT nonapeptide. In a large group of Han Chinese undergraduate students (n = 1593) we examined associations of two single nucleotide polymorphisms of the OXT- Neurophysin I gene with personality traits...
March 5, 2018: International Journal of Psychophysiology
https://www.readbyqxmd.com/read/29468473/clinical-aspects-of-myocardial-fibrosis-in-adults-with-ebstein-s-anomaly
#20
Aleksandra Ciepłucha, Olga Trojnarska, Anna Kociemba, Magdalena Łanocha, Mikolaj Barczynski, Szymon Rozmiarek, Lucyna Kramer, Malgorzata Pyda
Heart failure and arrhythmia are common complications in adults with Ebstein's anomaly. They may result not only from hemodynamic alterations, but also from myocardial fibrosis. Late gadolinium enhancement (LGE) by CMR enables the evaluation of myocardial fibrosis. The aim of the study was to asses the presence of LGE and its relation to clinical outcome. We studied a group of 37 unoperated adults aged 43.0 ± 14.4 years with Ebstein's anomaly from the congenital heart disease outpatient clinic. Study protocol included: cardiopulmonary test, assessment of supraventricular arrhythmia (SVA), and CMR with evaluation of cardiac chambers' morphology and function, and presence of LGE...
February 21, 2018: Heart and Vessels
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