Clinical spectrum and long-term outcome of Ebstein’s anomaly based on a 26-year experience in an Asian cohort

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• 作者：Ya-Mei Chang (1) (2)
  Jou-Kou Wang (1)
  Sheunn-Nan Chiu (1)
  Ming-Tai Lin (1)
  En-Ting Wu (1)
  Chun-An Chen (1)
  Shu-Chien Huang (3)
  Yih-Sharng Chen (3)
  Chung-I Chang (3)
  Ing-Sh Chiu (3)
  Jiunn-Lee Lin (4)
  Ling-Ping Lai (4)
  Mei-Hwan Wu (1)
  
• 关键词：Ebstein’s anomaly ; Pulmonary atresia ; Supraventricular tachyarrhythmia
• 刊名：European Journal of Pediatrics
• 出版年：2009
• 出版时间：June 2009
• 年：2009
• 卷：168
• 期：6
• 页码：685-690
• 全文大小：211KB
• 参考文献：1. Anderson KR, Zuberbuhler JR, Anderson RH, Becker AE, Lie JT (1979) Morphologic spectrum of Ebstein’s anomaly of the heart: a review. Mayo Clin Proc 54:174-80
  2. Attenhofer Jost CH, Connolly HM, Dearani JA, Edwards WD, Danielson GK (2007) Ebstein’s anomaly. Circulation 115(2):277-85. doi:10.1161/CIRCULATIONAHA.106.619338 CrossRef
  3. Celermajer DS, Bull C, Till JA, Cullen S, Vassillikos VP, Sullivan ID et al (1994) Ebstein’s anomaly: presentation and outcome from fetus to adult. J Am Coll Cardiol 23:170-76 CrossRef
  4. Chetaille P, Walsh EP, Triedman JK (2004) Outcomes of radiofrequency catheter ablation of atrioventricular reciprocating tachycardia in patients with congenital heart disease. Heart Rhythm 1:168-73. doi:10.1016/j.hrthm.2004.03.064 CrossRef
  5. Dearani JA, Danielson GK (2005) Surgical management of Ebstein’s anomaly in the adult. Semin Thorac Cardiovasc Surg 17:148-54. doi:10.1053/j.semtcvs.2005.02.008 CrossRef
  6. Endo M, Sawamura Y, Saiki Y, Shibuya T, Tanaka T, Tabayashi K (2004) Blalock–Taussig shunt for a neonatal case of Ebstein’s anomaly with unobstructed right ventricular outflow tract. Pediatr Cardiol 25:56-7. doi:10.1007/s00246-003-0382-x CrossRef
  7. Farooki ZQ, Henry JG, Green EW (1976) Echocardiographic spectrum of Ebstein’s anomaly of the tricuspid valve. Circulation 53:63-8
  8. Frescura C, Angelini A, Daliento L, Thiene G (2000) Morphological aspects of Ebstein’s anomaly in adults. Thorac Cardiovasc Surg 48:203-08. doi:10.1055/s-2000-6893 CrossRef
  9. Kapusta L, Eveleigh RM, Poulino SE, Rijlaarsdam ME, du Marchie Sarvaas GJ, Strengers JL et al (2007) Ebstein’s anomaly: factors associated with death in childhood and adolescence: a multi-centre, long-term study. Eur Heart J 28:2661-666. doi:10.1093/eurheartj/ehm398 CrossRef
  10. Khositseth A, Danielson GK, Dearani JA, Munger TM, Porter CJ (2004) Supraventricular tachyarrhythmias in Ebstein anomaly: management and outcome. J Thorac Cardiovasc Surg 128:826-33. doi:10.1016/j.jtcvs.2004.02.012 CrossRef
  11. Knott-Craig CJ, Overholt ED, Ward KE, Razook JD (2000) Neonatal repair of Ebstein’s anomaly: indications, surgical technique, and medium-term follow-up. Ann Thorac Surg 69:1505-510. doi:10.1016/S0003-4975(00)01138-3 CrossRef
  12. Knott-Craig CJ, Goldberg SP, Overholt ED, Colvin EV, Kirklin JK (2007) Repair of neonates and young infants with Ebstein’s anomaly and related disorders. Ann Thorac Surg 84:587-93. doi:10.1016/j.athoracsur.2007.03.061 CrossRef
  13. Kugler JD, Danford DA, Deal BJ, Gillette PC, Perry JC, Silka MJ et al (1994) Radiofrequency catheter ablation for tachyarrhythmias in children and adolescents. The Pediatric Electrophysiology Society. N Engl J Med 330:1481-487. doi:10.1056/NEJM199405263302103 CrossRef
  14. Lupoglazoff, Denjoy I, Kabaker M, Benali K, Riescher B, Magnier S JM et al (1999) Cardiorespiratory exercise tolerance in asymptomatic children with Ebstein’s anomaly. Pediatr Cardiol 20:189-94. doi:10.1007/s002469900438 CrossRef
  15. Madiwale CV, Deshpande JR, Kinare SG (1997) Ebstein’s anomaly—an autopsy study of 28 cases. J Postgrad Med 43:8-1
  16. McElhinney DB, Salvin JW, Colan SD, Thiagarajan R, Crawford EC, Marcus EN et al (2005) Improving outcomes in fetuses and neonates with congenital displacement (Ebstein’s malformation) or dysplasia of the tricuspid valve. Am J Cardiol 96:582-86. doi:10.1016/j.amjcard.2005.04.024 CrossRef
  17. Paranon S, Acar P (2008) Ebstein’s anomaly of the tricuspid valve: from fetus to adult: congenital heart disease. Heart 94:237-43. doi:10.1136/hrt.2006.105262 CrossRef
  18. Reemtsen BL, Fagan BT, Wells WJ, Starnes VA (2006) Current surgical therapy for Ebstein anomaly in neonates. J Thorac Cardiovasc Surg 132:1285-290. doi:10.1016/j.jtcvs.2006.08.044 CrossRef
  19. Reich JD, Auld D, Hulse E, Sullivan K, Campbell R (1998) The Pediatric Radiofrequency Ablation Registry’s experience with Ebstein’s anomaly. Pediatric Electrophysiology Society. J Cardiovasc Electrophysiol 9:1370-377 CrossRef
  20. Roberson DA, Silverman NH (1989) Ebstein’s anomaly: echocardiographic and clinical features in the fetus and neonate. J Am Coll Cardiol 14:1300-307 CrossRef
  21. Sarris GE, Giannopoulos NM, Tsoutsinos AJ, Chatzis AK, Kirvassilis G, Brawn WJ et al (2006) Results of surgery for Ebstein anomaly: a multicenter study from the European Congenital Heart Surgeons Association. J Thorac Cardiovasc Surg 132:50-7. doi:10.1016/j.jtcvs.2005.10.062 CrossRef
  22. Silverman NH, Gerlis LM, Horowitz ES, Ho SY, Neches WH, Anderson RH (1995) Pathologic elucidation of the echocardiographic features of Ebstein’s malformation of the morphologically tricuspid valve in discordant atrioventricular connections. Am J Cardiol 76:1277-283. doi:10.1016/S0002-9149(99)80356-7 CrossRef
  23. Sommer RJ, Hijazi ZM, Rhodes JF (2008) Pathophysiology of congenital heart disease in the adult: part III: complex congenital heart disease. Circulation 117:1340-350. doi:10.1161/CIRCULATIONAHA.107.714428 CrossRef
  24. Trojnarska O, Szyszka A, Gwizda?a A, Siniawski A, Oko-Sarnowska Z, Chmara E et al (2006) Adults with Ebstein’s anomaly—cardiopulmonary exercise testing and BNP levels exercise capacity and BNP in adults with Ebstein’s anomaly. Int J Cardiol 111:92-7. doi:10.1016/j.ijcard.2005.07.019 CrossRef
  25. Yetman AT, Freedom RM, McCrindle BW (1998) Outcome in cyanotic neonates with Ebstein’s anomaly. Am J Cardiol 81:749-54 CrossRef
  26. Yun TJ, Lee SH, Ko JK (2006) Neonatal stenotic Ebstein’s anomaly: a novel technique of right ventricular exclusion. J Thorac Cardiovasc Surg 131:469-71 CrossRef
  
• 作者单位：Ya-Mei Chang (1) (2)
  Jou-Kou Wang (1)
  Sheunn-Nan Chiu (1)
  Ming-Tai Lin (1)
  En-Ting Wu (1)
  Chun-An Chen (1)
  Shu-Chien Huang (3)
  Yih-Sharng Chen (3)
  Chung-I Chang (3)
  Ing-Sh Chiu (3)
  Jiunn-Lee Lin (4)
  Ling-Ping Lai (4)
  Mei-Hwan Wu (1)
  
  1. Departments of Pediatrics, National Taiwan University Hospital and College of Medicine, National Taiwan University, No. 7, Chun-Shan Road, Taipei, Taiwan
  2. Department Pediatrics, Taipei City Hospital-Branch for Women and Children, Taipei, Taiwan
  3. Department of Surgery, National Taiwan University Hospital and College of Medicine, National Taiwan University, No. 7, Chun-Shan Road, Taipei, Taiwan
  4. Department of Internal Medicine, National Taiwan University Hospital and College of Medicine, National Taiwan University, No. 7, Chun-Shan Road, Taipei, Taiwan
  

文摘

Ebstein’s anomaly is a rare, congenital cardiac anomaly that may result in cyanosis, right heart failure, and tachyarrhythmia during the newborn stage or after adolescence. This study investigated the data of 77 patients diagnosed between 1980 and 2006 at a tertiary care center in Taiwan. Patients were grouped into either an early group or a late group. Survival declined rapidly within the newborn stage in the early group, but declined only during the third decade in the late group. Surgical results were poor (20% success rate) for neonatal systemic-to-pulmonary shunts in those cases with associated pulmonary atresia, but were satisfactory for other surgical modes. Supraventricular tachyarrhythmia occurred in 31 (41%) patients at a median age of 10?years and could be eliminated by radiofrequency ablation (81% success rate), though the recurrence rate was high (41%). In conclusion, other than those cases requiring shunts at the newborn stage, the long-term outcome was favorable.