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(Chest. 1973;63:120-123.)
© 1973 American College of Chest Physicians

Post Superior Vena Cava-Right Pulmonary Artery Shunt; Total Surgical Correction of Ebstein's Anomaly with Starr-Edwards Prosthesis

Maria H. Balkoura-Christopoulos M.D.1 and C. Frederick Kittle M.D.1

1 Departments of Medicine and Surgery, University of Chicago, Pritzker School of Medicine, Chicago

Total surgical correction of Ebstein's anomaly was successfully done in a patient with a previous Glenn shunt by replacing the rudimentary tricuspid valve with a Starr-Edwards mitral prosthesis and closing the atrial septal defect. During the four-year follow-up, the patient has shown marked improvement in exercise tolerance and disappearance of clinical cyanosis and polycythemia. Control of his congestive heart failure and arrhythmias has been easier. This illustrates the feasibility of total correction in patients with Ebstein's anomaly who have had little benefit from a Glenn shunt.






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Copyright © 1973 by the American College of Chest Physicians.