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Cox-Maze IV Procedure Concomitant with Valvular Surgery In Situs Inversus Dextrocardia: A Single-Center Experience in China
Published on: February 11, 2022
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Aortic valve replacement for dextrocardia with situs inversus totalis
Shigeaki Aoyagi1, Satoru Tobinaga1, Kumiko Wada1
1Department of Cardiovascular Surgery, St. Mary's Hospital, Kurume, Japan.
Journal of Cardiac Surgery
|June 20, 2021
Summary
Dextrocardia, a rare heart anomaly, presented in a 74-year-old woman with aortic regurgitation. Surgical aortic valve replacement was successfully performed despite the complex cardiac malposition.
Area of Science:
- Cardiology
- Congenital Heart Disease
- Cardiac Surgery
Background:
- Dextrocardia is a rare congenital condition where the heart is on the right side of the chest.
- Aortic regurgitation (AR) is a serious valvular heart disease requiring timely intervention.
Observation:
- A 74-year-old woman with dextrocardia was diagnosed with severe aortic regurgitation.
- Imaging revealed dextrocardia with a mirror-image arrangement of the heart and great vessels.
- Echocardiography showed AR due to cusp prolapse, left ventricular dilation, and reduced wall motion.
Findings:
- Computed tomography confirmed the dextrocardia and complex anatomy.
- A median sternotomy was performed, requiring the surgical team to adapt their positioning.
- Successful aortic valve replacement was achieved using cardiopulmonary bypass.
Implications:
- This case highlights the successful surgical management of aortic regurgitation in a patient with dextrocardia.
- It demonstrates the adaptability of surgical teams in managing complex congenital cardiac positional anomalies.
- Such cases underscore the importance of advanced imaging and tailored surgical approaches for rare conditions.
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