Abstract
The incidence of situs inversus totalis is 1/10,000 to 1/50,000 live births. A 43-year-old female patient was incidentally diagnosed to have situs inversus totalis with severe mitral and aortic stenosis. The patient was thoroughly assessed, and the plan of surgery was modified accordingly. Under cardiopulmonary bypass, the mitral valve and aortic valve were replaced with 27-size and 19-size St. Jude medical mechanical valve, respectively, while the operating surgeon stood on left side. The postoperative period was uneventful. Thorough assessment and preoperative planning are essential for success in such cases.
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References
Huhta JC, Hagler DJ, Seward JB, Tajik AJ, Julsrud PR, Ritter DG. Two-dimensional echocardiographic assessment of dextrocardia: a segmental approach. Am J Cardiol. 1982;50:1351–60.
Bohun CM, Potts JE, Casey BM, Sandor GG. A population-based study of cardiac malformations and outcomes associated with dextrocardia. Am J Cardiol. 2007;100:305–9.
Garg N, Agarwal BL, Modi N, Radhakrishnan S, Sinha N. Dextrocardia: an analysis of cardiac structures in 125 patients. Int J Cardiol. 2003;88:143–55.
Baliah M, Veeraiyan P, Narasimhan A, Ganesan M. Double valve replacement in a patient with dextrocardia and situs inversus totalis. Indian J Thorac Cardiovasc Surg. 2015;31:237–9.
Khan MF, Zhao WZ. Double valve replacement in a patient with dextrocardia and situs inversus toatalis: a case report. Ann Clin Lab Res. 2016;4:2
Van Praagh R, Van Praagh S, Vlad P, Keith JD. Anatomic types of congenital dextrocardia: diagnostic and embryological implications. Am J Cardiol. 1964;13:510–31.
Khalil S, Kamal A, Ahmed S. Acute myocardial infarction in a patient with dextrocardia and situs inversus. J Electrocardiol. 2005;38:412–3.
Owen SA. A case of complete transposition of viscera, associated with mitral stenosis; including a description of the electrocardiographic tracings. Heart. 2003;113:1911–2.
Saad RA, Badr A, Goodwin AT, Dunning J. Should you stand on the left or the right of a patient with dextrocardia who needs coronary surgery? Interact Cardiovasc Thorac Surg. 2009;9:698–702.
Sahin MA, Guler A, Kaya E. Mitral valve replacement in a patient with situs inversus and dextrocardia. Thorac Cardiovasc Surg. 2011;59:305–6.
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Haldar, S., Hossain, Z., Datta, S. et al. Double valve replacement in a case of dextrocardia and situs inversus totalis. Indian J Thorac Cardiovasc Surg 34, 506–509 (2018). https://doi.org/10.1007/s12055-018-0660-0
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DOI: https://doi.org/10.1007/s12055-018-0660-0