Left ventricular outflow tract obstruction secondary to cone reconstruction for Ebstein’s anomaly: A case report_Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Authors：

HE Xuemei ¹ , JI Peng ² , DIAN Ke ³ ,  WANG Rurong ¹

1. Department of Anesthesiology, West China Hospital, Sichuan University, Chengdu, 610041, P.R.China;
2. Department of Critical Care Medicine, West China Hospital, Sichuan University, Chengdu, 610041, P.R.China;
3. Department of Cardiovascular Surgery, West China Hospital, Sichuan University, Chengdu, 610041, P.R.China;

Corresponding author：

WANG Rurong, Email: wangrurong@scu.edu.cn

Keywords：

Ebstein's anomaly; cone reconstruction; left outflow tract obstruction; surgery

DOI：

10.7507/1007-4848.202012009

Video：

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Left ventricular outflow tract obstruction (LVOTO) in Ebstein's anomaly is a rare complication, and LVOTO related to surgery is rarer. We present a 46 years old female patient who was dignosed with Ebstein's anomaly, then suffered from cardiac arrest because of LVOTO secondary to cone reconstruction in ICU.

Citation： HE Xuemei, JI Peng, DIAN Ke, WANG Rurong. Left ventricular outflow tract obstruction secondary to cone reconstruction for Ebstein’s anomaly: A case report. Chinese Journal of Clinical Thoracic and Cardiovascular Surgery, 2021, 28(3): 368-370. doi: 10.7507/1007-4848.202012009 Copy

1.	Attenhofer Jost CH, Connolly HM, O'Leary PW, et al. Left heart lesions in patients with Ebstein anomaly. Mayo Clin Proc, 2005, 80(3): 361-368.
2.	Waterhouse DF, Murphy TM, McCreery CJ, et al. An unusual cause of dynamic left ventricular outflow obstruction: An unusual case of dynamic LVOTO. Int J Cardiol, 2015, 197: 282-283.
3.	Hirata K, Yagi N, Kubota S, et al. Case of Ebstein anomaly complicated by left ventricular outflow tract obstruction secondary to deformed basal septum attributable to atrialized right ventricle. Circulation, 2016, 133(4): e33-e37.
4.	Ordonez MV, Bedair R, Curtis SL. Left heart matters in Ebstein's anomaly: The importance of a closer follow up —a case report. Eur Heart J Case Rep, 2020, 4(4): 1-5.
5.	Ulus T, Nadir A, Birdane A, et al. Native mitral valve causing left ventricular outflow tract obstruction in an adult with Ebstein's anomaly. Anadolu Kardiyol Derg, 2011, 11(7): 651-652.
6.	Li B, Sun HS, Pan SW, et al. Outcomes of Ebstein's anomaly patients treated with tricuspid valvuloplasty or tricuspid valve replacement: experience of a single center. Chin Med J (Engl), 2018, 131(9): 1067-1074.
7.	Jegatheeswaran A, Cohen MS, Gaynor JW, et al. Extracorporeal membrane oxygenation as a novel management strategy for interventricular septal hematoma following ventricular septal defect repair. J Thorac Cardiovasc Surg, 2020, 159(5): 1936-1940.
8.	Yamazawa H, Takeda A, Nakajima H, et al. Interventricular septal hematoma following repair of a ventricular septal defect. J Card Surg, 2017, 32(6): 390-393.

1. Attenhofer Jost CH, Connolly HM, O'Leary PW, et al. Left heart lesions in patients with Ebstein anomaly. Mayo Clin Proc, 2005, 80(3): 361-368.
2. Waterhouse DF, Murphy TM, McCreery CJ, et al. An unusual cause of dynamic left ventricular outflow obstruction: An unusual case of dynamic LVOTO. Int J Cardiol, 2015, 197: 282-283.
3. Hirata K, Yagi N, Kubota S, et al. Case of Ebstein anomaly complicated by left ventricular outflow tract obstruction secondary to deformed basal septum attributable to atrialized right ventricle. Circulation, 2016, 133(4): e33-e37.
4. Ordonez MV, Bedair R, Curtis SL. Left heart matters in Ebstein's anomaly: The importance of a closer follow up —a case report. Eur Heart J Case Rep, 2020, 4(4): 1-5.
5. Ulus T, Nadir A, Birdane A, et al. Native mitral valve causing left ventricular outflow tract obstruction in an adult with Ebstein's anomaly. Anadolu Kardiyol Derg, 2011, 11(7): 651-652.
6. Li B, Sun HS, Pan SW, et al. Outcomes of Ebstein's anomaly patients treated with tricuspid valvuloplasty or tricuspid valve replacement: experience of a single center. Chin Med J (Engl), 2018, 131(9): 1067-1074.
7. Jegatheeswaran A, Cohen MS, Gaynor JW, et al. Extracorporeal membrane oxygenation as a novel management strategy for interventricular septal hematoma following ventricular septal defect repair. J Thorac Cardiovasc Surg, 2020, 159(5): 1936-1940.
8. Yamazawa H, Takeda A, Nakajima H, et al. Interventricular septal hematoma following repair of a ventricular septal defect. J Card Surg, 2017, 32(6): 390-393.

Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Left ventricular outflow tract obstruction secondary to cone reconstruction for Ebstein’s anomaly: A case report

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