title: Restoring anterior leaflet continuity: the Spinnaker repair of Ebstein's anomaly.
abstract: Several repair techniques for Ebstein's anomaly include aggressive mobilization of the anterior leaflet and the construction of a monobicuspid valve coapting against the interventricular septum. This can prove difficult when leaflet tissue is of poor quality or several fenestrations reduce leaflet surface. We present a simple and highly reproducible technique for restoring tissue continuity of the anterior leaflet that could represent a possible addendum to the existing array of surgical solutions. Two surgical cases are described. Both patients showed good valve function and trivial tricuspid regurgitation at short-term follow-up.
authors.affiliation: Department of Thoracic and Cardiovascular Surgery, Southampton University Hospital-NHS Trust, Southampton, United Kingdom. nicola.viola@uht.swest.nhs.uk
authors.forename: Nicola
authors.initials: N
authors.lastname: Viola
authors.forename: Joseph J
authors.initials: JJ
authors.lastname: Vettukattil
authors.forename: Marcus P
authors.initials: MP
authors.lastname: Haw
mesh_terms: D000293:Adolescent; D058385:Cardiac Valve Annuloplasty / Q000379:methods*; D004437:Ebstein Anomaly / Q000000981:diagnostic imaging / Q000601:surgery*; D019560:Echocardiography, Three-Dimensional; D017548:Echocardiography, Transesophageal; D005260:Female; D006352:Heart Ventricles / Q000000981:diagnostic imaging / Q000601:surgery; D006801:Humans; D008297:Male; D008875:Middle Aged; D010496:Pericardium / Q000637:transplantation*; D011183:Postoperative Complications / Q000000981:diagnostic imaging; D013536:Suture Techniques; D014261:Tricuspid Valve / Q000002:abnormalities / Q000000981:diagnostic imaging / Q000601:surgery*; D014262:Tricuspid Valve Insufficiency / Q000000981:diagnostic imaging / Q000601:surgery*