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Updated: Jan 9, 2026

Cox-Maze IV Procedure Concomitant with Valvular Surgery In Situs Inversus Dextrocardia: A Single-Center Experience in China
Published on: February 11, 2022
Personalized Surgical Tactics for an Adult Patient with Mitral Insufficiency and Dextrocardia with Situs Inversus
Boris N Kozlov1, Konstantin A Petlin1, Evgeniya V Lelik1
1Tomsk National Research Medical Center Cardiology Research Institute Cardiovascular Surgery Department Russian Federation Cardiovascular Surgery Department, Cardiology Research Institute, Tomsk National Research Medical Center, Russian Academy of Sciences, Russian Federation.
Abstract:
We present a clinical case of mitral insufficiency in a 59-year-old patient with dextrocardia and complete transposition of the viscera. The patient underwent mitral valve posterior leaflet repair and annuloplasty. During the operation, a "mirror inversion" of the equipment and surgery team position was carried out. The special feature of the operation was due to the fact that the aorta and great vessels in the wound were mirror-image. The postoperative period proceeded without complications. Being aware of the patient's dextrocardia and hence organizing the surgical procedure appropriately, we could achieve good results in radical surgery for valvular heart disease.
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