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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.
An amnioinfusion is a technique of instilling an isotonic fluid, such as a normal saline or lactated ringerâs solution, into the amniotic cavity with the purpose of thinning out a thick meconium that has been found to pass into the amniotic fluid.