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Christopher J. Knott-Craig, MD, Steven P. Goldberg, MD, Edward D

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1 Repair of Neonates and Young Infants With Ebstein’s Anomaly and Related Disorders 
Christopher J. Knott-Craig, MD, Steven P. Goldberg, MD, Edward D. Overholt, MD, Edward V. Colvin, MD, James K. Kirklin, MD  The Annals of Thoracic Surgery  Volume 84, Issue 2, Pages (August 2007) DOI: /j.athoracsur Copyright © 2007 The Society of Thoracic Surgeons Terms and Conditions

2 Fig 1 Sebening single-stitch valvuloplasty (papillary muscle of anterior leaflet through tethered septal leaflet). The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2007 The Society of Thoracic Surgeons Terms and Conditions

3 Fig 2 Tricuspid annuloplasty stitch placed in coronary sinus and at location of anteroposterior commissure. (ASD = atrial septal defect.) The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2007 The Society of Thoracic Surgeons Terms and Conditions

4 Fig 3 (A) Approximation of annuloplasty stitch creates two openings, the “caudal” orifice containing the entrance to the atrialized right ventricle. (B) Closure of the caudal opening plicates the atrialized right ventricle and creates a competent monocuspid valve. The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2007 The Society of Thoracic Surgeons Terms and Conditions

5 Fig 4 Detachment of anterior leaflet from tricuspid annulus. Subvalvular attachments are mobilized. The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2007 The Society of Thoracic Surgeons Terms and Conditions

6 Fig 5 Annuloplasty stitch with reattachment of anterior leaflet.
The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2007 The Society of Thoracic Surgeons Terms and Conditions

7 Fig 6 Augmentation of anterior leaflet with an autologous pericardial patch before annuloplasty. The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2007 The Society of Thoracic Surgeons Terms and Conditions

8 Fig 7 Echocardiogram of a patient with an unacceptably small left ventricle. (LA = left atrium; RA = right atrium; RV = right ventricle.) The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2007 The Society of Thoracic Surgeons Terms and Conditions

9 Fig 8 Management algorithm of Ebstein’s patients based on associated anomalies and overall stability. (B-T = Blalock-Taussig; LV = left ventricle; MPA = main pulmonary artery; Pulm. = pulmonary; RV = right ventricle.) The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2007 The Society of Thoracic Surgeons Terms and Conditions

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