Publication

Surgical outcome in pediatric patients with Ebstein's anomaly: A multicenter, long-term study

Geerdink, L. M., Sarvaas, G. J. D. M., Kuipers, I. M., Helbing, W. A., Delhaas, T., Ter Heide, H., Rozendaal, L., de Korte, C. L., Singh, S. K., Ebels, T., Hazekamp, M. G., Haas, F. D., Bogers, A. J. J. C. & Kapusta, L., Feb-2017, In : Congenital heart disease. 12, 1, p. 32-39 8 p.

Research output: Contribution to journalArticleAcademicpeer-review

Copy link to clipboard

Documents

  • Surgical outcome in pediatric patients with Ebstein's anomaly

    Final publisher's version, 537 KB, PDF document

    Request copy

DOI

  • Lianne M. Geerdink
  • Gideon J. Du Marchie Sarvaas
  • Irene M. Kuipers
  • Willem A. Helbing
  • Tammo Delhaas
  • Henriette Ter Heide
  • Lieke Rozendaal
  • Chris L. de Korte
  • Sandeep K. Singh
  • Tjark Ebels
  • Mark G Hazekamp
  • Felix de Haas
  • Ad J. J. C. Bogers
  • Livia Kapusta

ObjectiveSurgical outcomes of pediatric patients with Ebstein's anomaly are often described as part of all-age-inclusive series. Our objective is to focus on patients treated surgically in childhood (0-18 y). We study the intended treatment (biventricular or 1.5 ventricle repair or univentricular palliation), freedom from unplanned reoperation and survival of this specific age group, in a nationwide study.

DesignRecords of all Ebstein's anomaly patients born between 1980 and 2013 were reviewed. Demographic variables, intraoperative procedures and postoperative outcomes were analyzed.

ResultsSixty-three patients underwent 109 operations. Median follow-up after diagnosis was 121 months (range 0-216 months). Twenty-nine (46%) patients required surgery in the first year of life, including 21 who required neonatal surgery. The intended treatment was biventricular (n=37, 59%) and 1.5 ventricle (n=5, 8%) repair or univentricular (n=21, 33%) palliation. The one-, five-, and 10-year freedom from unplanned reoperation was 89%, 79%, and 75% respectively. There were nine (14%) in hospital deaths (within 30 d after surgery). Causes of death were low cardiac output syndrome, cardiac failure, hypoxemia, pulmonary hypertension or an unknown cause. There were no late deaths.

ConclusionsSurgery in childhood represents the worse spectrum of disease, biventricular repair is often not applied. Patients often face revision surgery. Mortality is limited to the immediate postsurgical period.

Original languageEnglish
Pages (from-to)32-39
Number of pages8
JournalCongenital heart disease
Volume12
Issue number1
Publication statusPublished - Feb-2017

    Keywords

  • congenital, Ebstein's anomaly, neonates, outcome, surgery, MALFORMATION, SPECTRUM, CHILDREN, SURGERY

ID: 43764907