Left side approach for aortic valve replacement in patient with dextrocardia and situs inversus totalis

Aortic valve replacement in patients with dextrocardia and situs inversus totalis is technically challenging due to anatomical considerations. Modifications of the cannulation strategy and operative tool sets are helpful. We report a 47-year-old man who had dextrocardia with situs inversus totalis w...

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Bibliographic Details
Published inJournal Of The Saudi Heart Association Vol. 29; no. 4; pp. 297 - 299
Main Authors Altarabsheh, Salah E., Al-Azzam, Fuad M., Deo, Salil V., Almomane, Ade F., Al-omari, Abdullah, Alma'ayeh, Sakher M., Obeidat, Yagthan M., Rababa'h, Abeer
Format Journal Article
LanguageEnglish
Published Netherlands Elsevier B.V 01.10.2017
Elsevier
Saudi Heart Association
Subjects
Aortic valve regurgitation
Cannulation
Case Report
Dextrocardia
Situs inversus
Situs inversus
Cannulation
Dextrocardia
Aortic valve regurgitation
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Summary:Aortic valve replacement in patients with dextrocardia and situs inversus totalis is technically challenging due to anatomical considerations. Modifications of the cannulation strategy and operative tool sets are helpful. We report a 47-year-old man who had dextrocardia with situs inversus totalis with severe aortic regurgitation. Our approach was precisely planned depending on the clear anatomy outlined by preoperative contrast-enhanced computed tomography of the chest. We used a surgical approach in which the main surgeon was standing on the left side of the patient. Left sided approach provided excellent exposure for aortic valve replacement in this case scenario.
Bibliography:ObjectType-Article-1
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ISSN:1016-7315
2212-5043
DOI:10.1016/j.jsha.2017.03.007