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In neonates with the most severe form of Ebstein anomaly, the functional right ventricle is hypoplastic, and the patient is usually best treated by closing the tricuspid valve and, in effect, creating a tricuspid atresia physiology (Starnes procedure). In addition, these infants require a systemic arteryâtoâpulmonary artery shunt.
The Nuss procedure is a minimally invasive alternative to the Ravitch procedure for the treatment of pectus deformities. It involves only internal bracing without resection of the abnormal cartilage.