Aortic valve replacement for dextrocardia with situs inversus totalis

Dextrocardia is a rare congenital cardiac positional anomaly. A 74‐year‐old woman was referred for aortic regurgitation (AR). Chest X‐ray revealed a mildly enlarged heart that directed to the right side. Transthoracic echocardiography showed AR due to cusp prolapse with a dilated left ventricle and...

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Bibliographic Details
Published in:Journal of cardiac surgery 2021-09, Vol.36 (9), p.3378-3380
Main Authors: Aoyagi, Shigeaki, Tobinaga, Satoru, Wada, Kumiko, Nata, Shin‐ichi, Yasunaga, Hiroshi
Format: Article
Language:English
Subjects:
congenital heart disease
valve repair/replacement
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Summary:Dextrocardia is a rare congenital cardiac positional anomaly. A 74‐year‐old woman was referred for aortic regurgitation (AR). Chest X‐ray revealed a mildly enlarged heart that directed to the right side. Transthoracic echocardiography showed AR due to cusp prolapse with a dilated left ventricle and reduced wall motion. Computed tomography demonstrated the heart and great vessels in a mirror image of their normal positions. A median sternotomy performed by the surgeon standing on the right side of the patient. After establishing a cardiopulmonary bypass, the surgeon moved to the left side of the patient, and then performed aortic valve replacement.
ISSN:0886-0440
1540-8191
DOI:10.1111/jocs.15759