Ahmet Barış DURUKAN, Cem YORGANCIOĞLU, Halil İbrahim UÇAR, Hasan Alper GÜRBÜZ, Fatih Tanzer SERTER

Mitral valve replacement surgery in isolated dextrocardia: a case report

Situs solitusun eşlik ettiği dekstrokardi ve cerrahi tedavi gerektiren mitral kapak yetmezliği, nadir görülen bir klinik tablodur. Bu yazıda, cerrahi tedavi gerektiren ciddi mitral yetmezlik nedeniyle hastanemize sevk edilen 64 yaşında dekstrokardi ve situs solituslu bir kadın olgu sunuldu. Cerrah hastanın sol tarafında dururken, mükemmel bir görüş sağlanarak ve sol atriyumdan 31 mmlik mekanik bir protez kapak kullanılarak mitral kapak replasmanı yapıldı.

İzole dekstrokardide mitral kapak replasman cerrahisi: Olgu sunumu

Dextrocardia with situs solitus and mitral valve insufficiency requiring surgical treatment are rare clinical presentations. In this article, we report a 64-year-old female patient with dextrocardia and situs solitus, who was referred to our hospital for surgical treatment of severe mitral valve insufficiency. Mitral valve replacement with a 31-mm mechanical valve prosthesis was performed through the left atrium, while the surgeon stood on the left side of the patient having an excellent exposure.

PDF

___

1. Arcilla RA, Gasul BM. Congenital dextrocardia. Clinical, angiocardiographic, and autopsy studies on 50 patients.Pediatr 1961;58:39-58.
2. Report of the New England Regional Infant Cardiac Program. Pediatrics 1980;65:375-461.
3. Ferencz C, Correa-Villasenor A, Loffredo CA, Wilson PD. Genetic and environmental risk factors for major cardiovascular malformations: The Baltimore-Washington Infant Study, 1981-1989. NewYork: Futura; 1997.
4. Cobiella J, Muñoz C, Arís A. Complex cardiac surgery in a patient with dextrocardia and polysplenia. Rev Esp Cardiol 2005;58:1236-8.
5. 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.
6. Khalil S, Kamal A, Ahmed S. Acute myocardial infarction in a patient with dextrocardia and situs inversus. J Electrocardiol 2005;38:412-3.
7. St Rammos K, Bakas AJ, Panagopoulos FG. Mitral valve replacement in a Jehovah's Witness with dextrocardia and situs solitus. J Heart Valve Dis 1996;5:673-4.
8. Yokoyama Y, Satoh H, Abe M, Nagashima M, Kurata A, Higashino H. Cardiac surgery for annuloaortic ectasia and mitral regurgitation in an adult patient with dextrocardia. Gen Thorac Cardiovasc Surg 2011;59:341-3. doi: 10.1007/ s11748-010-0682-z.
9. Sahin MA, Guler A, Kaya E. Mitral valve replacement in a patient with situs inversus and dextrocardia. Thorac Cardiovasc Surg 2011;59:305-6. doi: 10.1055/s-0030- 1250241.
10. 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. doi: 10.1510/icvts.2009.216317.
11. Karaca MK, Aytaçoğlu BN, Bayrı Ö, Özeren M, Sucu N. Dekstrokardi vesitus inversus totalisi olan bir hastada koroner arter bypass greftleme. Türkiye Klinikleri J Cardiovasc Sci 2009;21:474-6.