ArticleJournal of cardiovascular magnetic resonance : official journal of the Society for Cardiovascular Magnetic Resonance2018
Impact of the cone operation on left ventricular size, function, and dyssynchrony in Ebstein anomaly: a cardiovascular magnetic resonance study.
Article in Journal of cardiovascular magnetic resonance : official journal of the Society for Cardiovascular Magnetic Resonance, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.
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Who cites it
18 citing papers in PubMed, 1 synthesis or guideline pooled it, 47 citations in OpenAlex.
- SCMR Position Paper (2020) on clinical indications for cardiovascular magnetic resonance.Journal of cardiovascular magnetic resonance : official journal of the Society for Cardiovascular Magnetic Resonance · 2020Guideline
- Cone Reconstruction for Ebstein Anomaly: Effect on Tricuspid Valve Growth and Biventricular Remodelling in Children.Interdisciplinary cardiovascular and thoracic surgery · 2026Article
- Role of speckle tracking imaging in risk stratification in Ebstein anomaly.International journal of cardiology. Congenital heart disease · 2026Article
- Ventricular Mechanics in Patients with Congenital Heart Disease and Cardiac Implantable Electronic Devices: An Echocardiography and Cardiac Computed Tomography Comparison Study.Pediatric cardiology · 2026Article
- Biventricular remodeling and function after Cone repair of Ebstein Anomaly: A review.International journal of cardiology. Congenital heart disease · 2026Review
- Primary Tricuspid Regurgitation in ACHD: Diagnosis and Treatment.Methodist DeBakey cardiovascular journal · 2026Review
- Mid-Term Recovery of Right Ventricular Function and Improvement of Left Ventricular Function After Da Silva Cone Procedure for Ebstein Anomaly.Journal of cardiovascular development and disease · 2025Article
- Article
- Biventricular remodeling after cone repair in Ebstein anomaly: magnetic resonance imaging data analysis.Journal of thoracic disease · 2025Article
- Cardiovascular Computed Tomography and Magnetic Resonance Imaging Guideline of the Brazilian Society of Cardiology and the Brazilian College of Radiology - 2024.Arquivos brasileiros de cardiologia · 2024Article
- Comparative outcomes and risk analysis after cone repair or tricuspid valve replacement for Ebstein's anomaly.JTCVS open · 2023Article
- Cardiac remodeling after tricuspid valve repair in Ebstein's anomaly: a magnetic resonance study.European radiology · 2023Article
- Cardiac MRI predictors of right ventricular dysfunction after the Da Silva cone operation for Ebstein's anomaly.International journal of cardiology. Congenital heart disease · 2022Article
- Hemodynamics and Clinical Implications of Occult Left Ventricular Dysfunction in Adults Undergoing Ebstein Anomaly Repair.Circulation. Cardiovascular imaging · 2021Article
- Impact of Cone vs. Hetzer Repair on Postoperative Outcomes in Patients With Ebstein's Anomaly: 10-Year Experience From a Single Institution.Frontiers in cardiovascular medicine · 2021Article
- Journal of Cardiovascular Magnetic Resonance: 2017/2018 in review.Journal of cardiovascular magnetic resonance : official journal of the Society for Cardiovascular Magnetic Resonance · 2019Review
- Early and Long-Term Outcomes of Surgical Treatment of Ebstein's Anomaly.Brazilian journal of cardiovascular surgery · 2019Article
- Mid-term outcomes of individualized surgeries in patients with Ebstein's anomaly.Heart and vessels · 2019Article
Corrections and comments
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Authors and funding
8 authors at 2 institutions in 1 country.
Funding
Abstract
backgroundIn addition to tricuspid regurgitation (TR) and right ventricular (RV) enlargement, patients with Ebstein anomaly are at risk for left ventricular (LV) dysfunction and dyssynchrony. We studied the impact of the cone tricuspid valve reconstruction operation on LV size, function, and dyssynchrony.
methodsAll Ebstein anomaly patients who had both pre- and postoperative cardiovascular magnetic resonance (CMR) studies were retrospectively identified. From cine images, RV and LV volumes and ejection fractions (EF) were calculated, and LV circumferential and longitudinal strain were measured by feature tracking. To quantify LV dyssynchrony, temporal offsets (TOs) were computed among segmental circumferential strain versus time curves using cross-correlation analysis and patient-specific reference curves. An LV dyssynchrony index was calculated as the standard deviation of the TOs.
resultsTwenty patients (65% female) were included with a median age at cone operation of 16 years, and a median time between pre- and postoperative CMR of 2.8 years. Postoperatively, there was a decline in the TR fraction (56 ± 19% vs. 5 ± 4%, p < 0.001), RV end-diastolic volume (EDV) (242 ± 110 ml/m
conclusionsIn patients with the Ebstein anomaly, the cone operation led to reduced TR and RV stroke volume, increased LV stroke volume, improved LV basal septal strain, and improved LV synchrony. Our data demonstrates that the detrimental effect of the RV on LV function can be mitigated by the cone operation.
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