Nawa S, Kioka Y, Sano S, Shirakawa K, Ozaki K, Beika M, Nagase H, Nakayama Y, Mondori E, Shigenobu M
J Cardiovasc Surg (Torino). 1984 Mar-Apr;25(2):142-6.
The choice between valve replacement and plasty for surgical management of Ebstein's anomaly still remains controversial. Since 1960, we have treated 16 cases of Ebstein's anomaly, and 7 of the 16 cases have undergone surgical correction. Tricuspid valve replacement (TVR) without plication of the atrialized ventricle was applied in 4 cases, and Hardy's procedure was adopted in three cases. The division of the Bundle of Kent was carried out simultaneously in 2 cases with Wolff-Parkinson-White (W-P-W) syndrome of the TVR group. All patients have survived the operation. Early and late (as long as 14 years) postoperative evaluations have demonstrated superiority of the TVR group. However, the late echocardiographic findings have revealed new problems in the TVR group, such as hypokinetic or paradoxical motion of the atrialized ventricle in two cases and hypofunction of the left as well as the right heart.
在Ebstein畸形的手术治疗中，瓣膜置换术与瓣膜成形术之间的选择仍存在争议。自1960年以来，我们共治疗了16例Ebstein畸形患者，其中16例中有7例接受了手术矫正。4例患者采用了未对房化心室进行折叠的三尖瓣置换术（TVR），3例采用了Hardy手术。TVR组中有2例合并Wolff-Parkinson-White（W-P-W）综合征的患者同时进行了Kent束切断术。所有患者均手术存活。术后早期及晚期（长达14年）评估显示TVR组具有优势。然而，晚期超声心动图检查结果显示TVR组出现了新问题，如2例患者房化心室运动减弱或矛盾运动，以及左、右心功能减退。
