Thorac Cardiovasc Surg 2011; 59(5): 305-306
DOI: 10.1055/s-0030-1250241
Case Reports/Cardiac

© Georg Thieme Verlag KG Stuttgart · New York

Mitral Valve Replacement in a Patient with Situs Inversus and Dextrocardia

M. A. Sahin1 , A. Guler1 , E. Kaya1
  • 1Department of Cardiovascular Surgery, Gülhane Military Medical Academy, Ankara, Turkey
Further Information

Publication History

received June 1, 2010

Publication Date:
10 March 2011 (online)

Abstract

Dextrocardia is a rarely seen cardiac malposition, often associated with multiple and complex congenital cardiac anomalies. Valve surgery for acquired valvular lesions in dextrocardia with situs inversus is rare. A 65-year-old man was admitted to our department with palpitation and dyspnea. Chest X‐ray showed dextrocardia, and echocardiography revealed severe mitral regurgitation due to rheumatic valve degeneration. Prosthetic mitral valve replacement using a transseptal approach via a median sternotomy was successfully performed in the patient.

References

  • 1 Van Praagh R, Weinberg P M, Smith S D et al. Malpositions of the heart.. In: Adams F H, Emmanouilides G C, Riemenschneider T A, eds. Moss' heart disease in infants, children, and adolescents.. 4th ed. Baltimore: Williams & Wilkins; 1989: 530-580
  • 2 Rao P S. Dextrocardia: systematic approach to differential diagnosis.  Am Heart J. 1981;  102 (3 pt 1) 389-403
  • 3 Garg N, Agarwal B L, Modi N et al. Dextrocardia: an analysis of cardiac structures in 125 patients.  Int J Cardiol. 2003;  88 143-155
  • 4 Pezzella A T, Utley J R, Vander Salm T J. Operative approaches to the left atrium and mitral valve: an update.  Oper Tech Thorac Cardiovasc Surg. 1998;  3 (2) 74-94
  • 5 Lukac P, Hjortdal V E, Pedersen A K et al. Superior transseptal approach to mitral valve is associated with a higher need for pacemaker implantation than the left atrial approach.  Ann Thorac Surg. 2007;  83 77-82

Dr. Mehmet Ali Sahin, MD

Department of Cardiovascular Surgery

Gülhane Military Medical Academy

General Dr. Tevfik Sağlam cad.

06010 Ankara

Turkey

Phone: +90 53 23 00 13 09

Fax: +90 31 23 04 52 00

Email: mali_irem@yahoo.com