Ebstein畸形的外科治疗讲解材料.pptVIP

Detaching the entire anterior and posterior leaflets from the annulus Freeing the leaflets from their muscularized attachments and reducing the annulus in size posteriorly Reattaching the leaflets to the smaller annulus not only corrects the defect but also effectively changes the orientation of the TV back to the RVOT and the functional RV. Fenestrating the A-S commissure and leaflet prevents tricuspid stenosis Correction of all associated cardiac defects PA、 PS or RVOTS: RVOT patch or a small homograft or other valved conduit VSD: more complex Unload