Korean J Thorac Cardiovasc Surg.  2007 Oct;40(10):696-700.

Midterm Result of Starnes Operation: A case report

Affiliations
  • 1Department of Thoracic and Cardiovascular Surgery, School of Medicine, Pusan National University, Korea. scsung21@hanmail.net
  • 2Department of Pediatrics, School of Medicine, Pusan National University, Korea.

Abstract

We report here on the midterm results after a Starnes operation for a severely symptomatic neonate with Ebstein's anomaly. A one-day-old baby presented with cyanosis and severe cardiomegaly. We performed patch closure of the tricuspid valve with a central shunt after failure of tricuspid valve repair with vertical plication of the atrialized ventricle at her age of 19 days. The coronary sinus was drained into the right ventricle. She underwent bidirectional cavopulmonary shunt and extracardiac conduit Fontan operation at her age of 16 and 30 months, respectively. She is now 56 months old and is doing very well. The recent follow-up study revealed that she was in normal sinus rhythm and had a normal sized left ventricle with good function and the small right ventricle without thrombus formation.

Keyword

Congenital heart disease; Neonate; Ebstein's anomaly

MeSH Terms

Cardiomegaly
Coronary Sinus
Cyanosis
Ebstein Anomaly
Follow-Up Studies
Fontan Procedure
Heart Defects, Congenital
Heart Ventricles
Humans
Infant, Newborn
Thrombosis
Tricuspid Valve
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