Glossary of Abbreviations:EA (Ebstein’s anomaly), RV (Right ventricle), TR (Tricuspid regurgitation), TV (Tricuspid valve), TVR (Tricuspid valve replacement), TS (Tricuspid stenosis)
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The authors have nothing to disclose
No external funding was received for this work.
Informed Consent Statement:
Informed written consent was waived due to the retrospective nature of this study.
Central Picture Legend: Cone repair shows significantly greater freedom from reintervention compared to TVR.
Cone repair is associated with stable TV function long term and a significantly lower risk of TV stenosis, TV reoperation, and RV function worsening compared to valve replacement.
Cone repair has become the gold standard for TV repair for Ebstein’s anomaly. In addition to stable long term TV function and lower rates of reintervention, it also demonstrates improved right ventricular function over time compared to valve replacement. The use of cone repair might be safely extended to use in older, sicker patients to improve right ventricular remodeling.
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