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Updated: Mar 29, 2026

Cox-Maze IV Procedure Concomitant with Valvular Surgery In Situs Inversus Dextrocardia: A Single-Center Experience in China
Published on: February 11, 2022
Dynamic left ventricular outflow obstruction in situs inversus with levocardia
Kazuhito Hirata1, Toshiho Tengan2, Hidemitsu Mototake2
1Department of Cardiology, Okinawa Chubu Hospital, Uruma, Japan.
This study describes a rare case of dynamic left ventricular outflow tract obstruction in a patient with complex congenital heart malposition. Surgical intervention successfully resolved the obstruction and improved the patient's condition.
Area of Science:
- Cardiology
- Congenital Heart Disease
- Cardiac Surgery
Background:
- A 69-year-old male presented with situs inversus, levocardia, and inverted great arteries.
- The patient developed severe dynamic left ventricular outflow tract (LVOT) obstruction.
- Systolic anterior motion of the anterior mitral leaflet was observed, without asymmetric septal hypertrophy.
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