title: Emergency Starnes operation: a surgical success beyond any better expectation.
abstract: The wide anatomic spectrum of Ebstein's anomaly is reflected by its extremely variable clinical presentation. We report a case of severe Ebstein's anomaly with natural history of a boy who underwent a successful emergency modified Starnes operation in a Third World sub-Saharan African country during a charitable international surgical mission. The particularities of this case are represented by the modality and setting of the intervention and by a surprising and fast clinical recovery. The age of the patient at the intervention and the choice to not fenestrate the patch also represent the noteworthiness of this life-saving procedure.
authors.affiliation: Fondazione G. Monasterio CNR-Regione Toscana, Massa and Pisa, Italy.
authors.forename: Bruno
authors.initials: B
authors.lastname: Murzi
authors.affiliation: Fondazione G. Monasterio CNR-Regione Toscana, Massa and Pisa, Italy.
authors.forename: Nadia
authors.initials: N
authors.lastname: Assanta
authors.affiliation: Fondazione G. Monasterio CNR-Regione Toscana, Massa and Pisa, Italy. Electronic address: cantinotti@ftgm.it.
authors.forename: Massimiliano
authors.initials: M
authors.lastname: Cantinotti
authors.affiliation: Pediatric Cardiology and Cardiac Surgery, Orotta Hospital, Asmara, Eritrea.
authors.forename: Tsegereda Gebrehiwot
authors.initials: TG
authors.lastname: Tikue
authors.affiliation: Pediatric Cardiology and Cardiac Surgery, Orotta Hospital, Asmara, Eritrea.
authors.forename: Yoseph Tewolde
authors.initials: YT
authors.lastname: Ghidei
authors.affiliation: International Programme of Pediatric Cardiac Surgery, International Operation Center for Children in Asmara, Asmara, Eritrea.
authors.forename: Andreas
authors.initials: A
authors.lastname: Urban
mesh_terms: D006348:Cardiac Surgical Procedures / Q000379:methods; D002648:Child; D004437:Ebstein Anomaly / Q000601:surgery*; D004638:Emergency Treatment; D006801:Humans; D008297:Male; D012074:Remission Induction