Biventricular remodeling and function after Cone repair of Ebstein Anomaly: A review - PubMed
8 days ago
- #Cardiac remodeling
- #Ebstein anomaly
- #Cone repair
- Cone reconstruction is the primary repair strategy for Ebstein anomaly (EA), restoring tricuspid valve (TV) anatomy and reducing tricuspid regurgitation (TR).
- Early postoperative risks include dehiscence, but mortality and reintervention rates are low afterward.
- Cone repair improves right atrial and atrialized right ventricle (RV) size, enhancing pulmonary flow and left ventricular filling.
- Postoperative RV dysfunction is common due to increased afterload, with delayed recovery observed.
- Left ventricular preload and function are preserved or improved after Cone repair.
- Discrepancies exist in RV remodeling reports due to variations in surgical techniques and lack of standardized imaging protocols.
- Functional status and aerobic capacity improve post-repair, especially in symptomatic patients.
- Innovations like stem cell therapy during repair show promise in early trials.
- Starnes palliation can stabilize critical cases, aiding biventricular repair via Cone reconstruction.