{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T14:26:52Z","timestamp":1787840812916,"version":"build-2784847793"},"reference-count":15,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"4","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2024,7]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Surgical intervention is the definitive treatment for Ebstein anomaly, offering both biventricular and nonbiventricular repair options. The objective of this study is to identify a specific cutoff value for tricuspid septal leaflet displacement, which will be a crucial factor in determining the selection of a surgical approach with lower mortality risk in biventricular repair.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods and Results:<\/jats:title>\n                    <jats:p>\n                      This is a retrospective cohort study of consecutive patients with Ebstein anomaly undergoing surgical intervention at the National Cardiovascular Center Harapan Kita from January 2010 to December 2023. A total of 83 patients with Ebstein anomaly were treated surgically; 43 of those underwent biventricular repair, whereas the remaining underwent nonbiventricular repair. Echocardiography was performed, and the Great Ormond Street Echocardiography score was calculated. Several risk factors were identified and stratified for patients with biventricular repair (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 43). Tricuspid septal leaflet displacement was measured for each patient, and there was a statistically significant higher mortality risk directly proportional to higher displacement in patients with biventricular repair (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.05). A cutoff value of 43.5 mm\/m\u00b2 for the tricuspid septal leaflet displacement is the best predictor of mortality risk in biventricular repair with 83.3% sensitivity and 93.3% specificity.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>In patients with Ebstein anomaly undergoing a biventricular repair, mortality rates are significantly elevated in patients with a higher tricuspid septal leaflet displacement distance. The results of the study indicated that the mortality risk in biventricular repair can be predicted based on the tricuspid septal leaflet displacement distance using a cutoff value of 43.5 mm\/m\u00b2.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/apc.apc_134_24","type":"journal-article","created":{"date-parts":[[2024,11,15]],"date-time":"2024-11-15T10:00:40Z","timestamp":1731664840000},"page":"272-276","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Tricuspid valve septal displacement cutoff value for mortality risk following biventricular repair in Ebstein anomaly"],"prefix":"10.4103","volume":"17","author":[{"given":"Dicky","family":"Fakhri","sequence":"first","affiliation":[{"name":"Department of Surgery, Pediatric and Congenital Heart Surgery Unit, National Cardiovascular Center Harapan Kita, West Jakarta, Indonesia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pribadi Wiranda","family":"Busro","sequence":"additional","affiliation":[{"name":"Department of Surgery, Pediatric and Congenital Heart Surgery Unit, National Cardiovascular Center Harapan Kita, West Jakarta, Indonesia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Budi","family":"Rahmat","sequence":"additional","affiliation":[{"name":"Department of Surgery, Pediatric and Congenital Heart Surgery Unit, National Cardiovascular Center Harapan Kita, West Jakarta, Indonesia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Salomo","family":"Purba","sequence":"additional","affiliation":[{"name":"Department of Surgery, Pediatric and Congenital Heart Surgery Unit, National Cardiovascular Center Harapan Kita, West Jakarta, Indonesia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Radityo","family":"Prakoso","sequence":"additional","affiliation":[{"name":"Department of Cardiology and Vascular Medicine, National Cardiovascular Center Harapan Kita, West Jakarta, Indonesia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chaisari Maria M.","family":"Turnip","sequence":"additional","affiliation":[{"name":"Department of Surgery, Pediatric and Congenital Heart Surgery Unit, National Cardiovascular Center Harapan Kita, West Jakarta, Indonesia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alyarosa","family":"Taqwaariva","sequence":"additional","affiliation":[{"name":"Department of Surgery, Pediatric and Congenital Heart Surgery Unit, National Cardiovascular Center Harapan Kita, West Jakarta, Indonesia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2024,11,15]]},"reference":[{"key":"R1-20250107","doi-asserted-by":"crossref","first-page":"277","DOI":"10.1161\/CIRCULATIONAHA.106.619338","article-title":"Ebstein's anomaly","volume":"115","author":"Attenhofer 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adolescence. An international co-operative study of 505 cases","volume":"36","author":"Watson","year":"1974","journal-title":"Br Heart J"},{"key":"R13-20250107","doi-asserted-by":"crossref","first-page":"1187","DOI":"10.1093\/ejcts\/ezy425","article-title":"Preoperative predictability of right ventricular failure following surgery for Ebstein's anomaly","volume":"55","author":"Mrad Agua","year":"2019","journal-title":"Eur J Cardiothorac Surg"},{"key":"R14-20250107","doi-asserted-by":"crossref","first-page":"38","DOI":"10.1053\/j.pcsu.2012.01.008","article-title":"Ebstein's anomaly of the tricuspid valve:The cone repair","volume":"15","author":"da Silva","year":"2012","journal-title":"Semin Thorac Cardiovasc Surg Pediatr Card Surg Annu"},{"key":"R15-20250107","doi-asserted-by":"crossref","first-page":"316","DOI":"10.1093\/ejcts\/ezu472","article-title":"Da Silva's cone repair for Ebstein's anomaly:Effect on right ventricular size and function","volume":"48","author":"Lange","year":"2015","journal-title":"Eur J Cardiothorac Surg"},{"key":"R16-20250107","doi-asserted-by":"crossref","first-page":"957","DOI":"10.1093\/ejcts\/ezaa139","article-title":"Rapid two-stage Starnes approach in high-risk neonates with Ebstein anomaly","volume":"58","author":"Asou","year":"2020","journal-title":"Eur J Cardiothorac Surg"}],"container-title":["Annals of Pediatric Cardiology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/apc.apc_134_24","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T13:29:25Z","timestamp":1787837365000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/apc.apc_134_24"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,7]]},"references-count":15,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2024]]}},"URL":"https:\/\/doi.org\/10.4103\/apc.apc_134_24","relation":{},"ISSN":["0974-2069","0974-5149"],"issn-type":[{"value":"0974-2069","type":"print"},{"value":"0974-5149","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,7]]},"assertion":[{"value":"2024-07-09","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-09-17","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}