title: Rapid two-stage Starnes procedure for a symptomatic neonate with Ebstein anomaly.
abstract: We present a rapid two-stage Starnes procedure for a seriously symptomatic neonate with the prenatal diagnosis of Ebstein anomaly. At 16 hours after birth, we performed an emergency operation consisting of main pulmonary artery ligation, plication of the right atrial and right ventricular wall, modified Blalock-Taussig shunt, and patent ductus arteriosus ligation, without cardiopulmonary bypass. At age 12 days, we then performed the Starnes procedure using a glutaraldehyde-treated autologous pericardial patch with a 4-mm fenestration to close the tricuspid valve orifice. The infant's postoperative course was excellent. A rapid two-stage Starnes procedure is useful for treating a seriously symptomatic neonate with Ebstein anomaly.
authors.affiliation: Department of Cardiovascular Surgery, Kanagawa Children's Medical Center, Yokohama, Japan. n-c.kaji@f6.dion.ne.jp
authors.forename: Noriyoshi
authors.initials: N
authors.lastname: Kajihara
authors.forename: Toshihide
authors.initials: T
authors.lastname: Asou
authors.forename: Yuko
authors.initials: Y
authors.lastname: Takeda
authors.forename: Yoshimichi
authors.initials: Y
authors.lastname: Kosaka
authors.forename: Yasuko
authors.initials: Y
authors.lastname: Onakatomi
authors.forename: Daiki
authors.initials: D
authors.lastname: Miyata
authors.forename: Seiyo
authors.initials: S
authors.lastname: Yasui
mesh_terms: D006348:Cardiac Surgical Procedures / Q000379:methods*; D004437:Ebstein Anomaly / Q000601:surgery*; D005260:Female; D006325:Heart Atria / Q000002:abnormalities / Q000601:surgery*; D006352:Heart Ventricles / Q000002:abnormalities / Q000601:surgery*; D006801:Humans; D007231:Infant, Newborn; D008026:Ligation / Q000379:methods; D010496:Pericardium / Q000637:transplantation*; D011651:Pulmonary Artery / Q000002:abnormalities / Q000601:surgery*; D013997:Time Factors; D014182:Transplantation, Autologous; D014261:Tricuspid Valve / Q000002:abnormalities / Q000601:surgery*