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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Autores principales: 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
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2017
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5623022/
https://www.ncbi.nlm.nih.gov/pubmed/28983174
http://dx.doi.org/10.1016/j.jsha.2017.03.007
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author 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
author_facet 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
author_sort Altarabsheh, Salah E.
collection PubMed
description 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.
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spelling pubmed-56230222017-10-05 Left side approach for aortic valve replacement in patient with dextrocardia and situs inversus totalis 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 J Saudi Heart Assoc Case Report 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. Elsevier 2017-10 2017-03-24 /pmc/articles/PMC5623022/ /pubmed/28983174 http://dx.doi.org/10.1016/j.jsha.2017.03.007 Text en © 2017 The Authors http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Case Report
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
Left side approach for aortic valve replacement in patient with dextrocardia and situs inversus totalis
title Left side approach for aortic valve replacement in patient with dextrocardia and situs inversus totalis
title_full Left side approach for aortic valve replacement in patient with dextrocardia and situs inversus totalis
title_fullStr Left side approach for aortic valve replacement in patient with dextrocardia and situs inversus totalis
title_full_unstemmed Left side approach for aortic valve replacement in patient with dextrocardia and situs inversus totalis
title_short Left side approach for aortic valve replacement in patient with dextrocardia and situs inversus totalis
title_sort left side approach for aortic valve replacement in patient with dextrocardia and situs inversus totalis
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5623022/
https://www.ncbi.nlm.nih.gov/pubmed/28983174
http://dx.doi.org/10.1016/j.jsha.2017.03.007
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