Cardiac MRI predictors of right ventricular dysfunction after the Da Silva cone operation for Ebstein's anomaly.

ABSTRACT:

Introduction

Despite the clinical benefits of the cone operation for Ebstein's anomaly, significant right ventricular (RV) dysfunction is frequently seen immediately after the procedure and if persistent may portend worse long-term outcomes. In this study we sought to evaluate the predictors of RV dysfunction after the cone operation using preoperative CMR.

Methods

This was a retrospective review of 26 consecutive patients who had the cone operation. Patients with significant RV dysfunction (RVD), defined as moderate or severe dysfunction by discharge echocardiogram, were compared to patients with no or mild dysfunction (no RVD).

Results

The median age at the operation was 12.2 years (interquartile range (IQR): 4.9-31.7 years). Eighteen patients (69%) had RVD. Patient

SUBMITTER: Alsaied T 

PROVIDER: S-EPMC11658122 | biostudies-literature | 2022 Mar

REPOSITORIES: biostudies-literature