Discussion on Ebstein Anomaly
Presented During: Congenital Innovation Session: Hot Topics in Congenital Heart Surgery
Children's Healthcare of Atlanta
Atlanta, GA
United States - Contact Me
Paul Chai is Chief of Pediatric Cardiothoracic Surgery at Children's Healthcare of Atlanta/Emory University. He completed his general and cardiothoracic surgery residency at Duke University Medical Center, and his pediatric cardiothoracic surgical fellowship at Mott Children's Hosptial/University of Michigan.
Saturday, May 3, 2025: 5:00 PM - 5:15 PM
Seattle Convention Center | Summit
Room: Ballroom 2, Level 5
Description
Introduction:
A better understanding of the morphology of complete atrioventricular septal defects (CAVSD) has impacted on surgical techniques and results. Reoperation rate for residual atrioventricular (AV) valve regurgitation after repair of common atrioventricular canal defect (AVCD) is currently between 5% and 10%.
Objectives:
This video was conducted to evaluate a technique in which neo chords were used to convert of left AV valve cleft into a commissure with sliding plasty on the superior bridging leaflet.
Case Video Summary:
In order to improve the valve components and free up the leaflets, the inferior bridging leaflet attachment to the crest of the septum through Secondary cords were divided. In order to complete the conversion of cleft into a commissure, neo chords were placed between the septum and the superior and inferior Bridging leaflets. sliding plasty was performed on the superior bridging leaflet By Detachment from the annulus and Shifting it more towards the inferior bridging leaflet. Lastly, an annuloplasty was performed.
Conclusions:
This technique yields good anatomical repair. Allowing reconstruction of left AV valves in particular helpful in cases of restricted chordal function and deficient left AV valve tissue.
A better understanding of the morphology of complete atrioventricular septal defects (CAVSD) has impacted on surgical techniques and results. Reoperation rate for residual atrioventricular (AV) valve regurgitation after repair of common atrioventricular canal defect (AVCD) is currently between 5% and 10%.
Objectives:
This video was conducted to evaluate a technique in which neo chords were used to convert of left AV valve cleft into a commissure with sliding plasty on the superior bridging leaflet.
Case Video Summary:
In order to improve the valve components and free up the leaflets, the inferior bridging leaflet attachment to the crest of the septum through Secondary cords were divided. In order to complete the conversion of cleft into a commissure, neo chords were placed between the septum and the superior and inferior Bridging leaflets. sliding plasty was performed on the superior bridging leaflet By Detachment from the annulus and Shifting it more towards the inferior bridging leaflet. Lastly, an annuloplasty was performed.
Conclusions:
This technique yields good anatomical repair. Allowing reconstruction of left AV valves in particular helpful in cases of restricted chordal function and deficient left AV valve tissue.