Transcatheter Aortic Valve Replacement in a Patient With Dextrocardia and Situs Inversus Totalis

Pattakos, Gregory; Chrissoheris, Michael; Halapas, Antonios; Papadopoulos, Konstantinos; Kourkoveli, Panagiota; Bouboulis, Nikolaos; Pattakos, Stratis; Spargias, Konstantinos

doi:10.1016/j.athoracsur.2018.05.041

Cited by 6 publications

(5 citation statements)

References 6 publications

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“…Few cases of SIT have been reported with surgical experience at home and abroad. The case of cerebrovascular interventional surgery in SIT patients has not been reported, but there are reported cases of cardiovascular interventional surgery and open surgery ( 9 , 10 ). Matsuno et al reported the association between cerebral aneurysms and the transposition of the aorta, and the surgical clipping of the aneurysm was carried out via the right frontotemporal craniotomy on the next day after admission ( 7 ).…”

Section: Discussionmentioning

confidence: 99%

Interventional treatment of basilar trunk artery aneurysms associated with situs inversus totalis: A case report

Long

Chen

et al. 2022

Front. Surg.

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Basilar trunk artery aneurysm (BTAA) has an overall low incidence in intracranial aneurysm, but its rupture is associated with high morbidity and mortality in older people. Situs inversus totalis (SIT) is a rare congenital abnormality characterized by visceral rotation and vascular abnormalities. It has been described in several uncommonly clinical cases, along with middle cerebral artery aneurysms and large carotid cavernous aneurysms. However, the association between interventional embolization for BTAA and SIT has not been reported. We described the angiography findings and interventional treatment of the association of BTAA with SIT.

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Section: Discussionmentioning

confidence: 99%

Interventional treatment of basilar trunk artery aneurysms associated with situs inversus totalis: A case report

Long

Chen

et al. 2022

Front. Surg.

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“…Aortic valve (AV) abnormalities causing severe aortic regurgitation or severe stenosis may occur in dextrocardia patients [ 121 , 122 , 123 , 124 , 125 , 126 ]. Simpler balloon aortic valvuloplasty or surgical repair may be offered in younger populations.…”

Section: Management Of Cardiac Malposition Patients During Adulthoodmentioning

confidence: 99%

“…Simpler balloon aortic valvuloplasty or surgical repair may be offered in younger populations. Transcatheter [ 121 , 122 , 123 , 124 , 125 ] or surgical [ 126 ] replacement of the AV may be offered for the elderly to address AV abnormalities [ 121 , 122 , 123 , 124 , 125 , 126 ].…”

Section: Management Of Cardiac Malposition Patients During Adulthoodmentioning

confidence: 99%

Therapy of Patients with Cardiac Malposition

Rao

2023

Children

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Positional abnormalities per se do not require treatment, but in their place, the accompanying pulmonary pathology in dextroposition patients and pathophysiologic hemodynamic abnormalities resulting from multiple defects in patients with cardiac malposition should be the focus of treatment. At the time of the first presentation, treating the pathophysiologic aberrations caused by the defect complex, whether it is by improving the pulmonary blood flow or restricting it, is the first step. Some patients with simpler or single defects are amenable to surgical or transcatheter therapy and should be treated accordingly. Other associated defects should also be treated appropriately. Biventricular or univentricular repair dependent on the patient’s cardiac structure should be planned. Complications in-between Fontan stages and after conclusion of Fontan surgery may occur and should be promptly diagnosed and addressed accordingly. Several other cardiac abnormalities unrelated to the initially identified heart defects may manifest in adulthood, and they should also be treated.

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“…Dextrocardia in combination with situs inversus is a rare congenital anomaly, with a frequency of 1: 10 000 [2]. Cardiac abnormalities are rare in patients with situs inversus totalis, whereas abnormalities associated with isolated dextrocardia occur more frequently.…”

Section: Introductionmentioning

confidence: 99%

Coronary Artery Bypass Grafting in a Patient with Situs Inversus Totalis

et al. 2019

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Patient: Male, 50 Final Diagnosis: Coronary artery disease in a patient with situs inversus totalis Symptoms: Angina pectoris Medication: — Clinical Procedure: Coronary artery bypass grafting Specialty: Cardiac surgery Objective: Rare disease Background: We report a rare case of total arterial coronary artery bypass grafting (CABG) in a patient with situs inversus totalis (SIT). SIT is a rare variant of biologically normal anatomy, in which the main internal organs are mirrored compared to normal localization. Case Report: A 50-year-old patient with SIT and severe coronary stenosis of the left anterior descending artery (LAD) and the ramus circumflexus (RCX) was admitted to our hospital. CABG was performed promptly using 2 conduits. After medial sternotomy, both mammary arteries were isolated by the skeletal method. Next, the cannulation of the aorta and the physiologically right atrium was performed. Custodiol cardioplegia was performed antegrade in a single shot. The left internal mammary artery (LIMA) was anastomosed to the LAD and the right internal mammary artery (RIMA) to the RCX. The aortic clamping time was 29 minutes. The operation was completed without complications. The patient was extubated 6 hours after surgery. On the first postoperative day, the patient was transferred to a regular ward. Postoperative therapy was performed without complications. Conclusions: Surgical correction is indicated for many patients with SIT in combination with coronary heart disease. Performing a CABG operation on these patients requires the operating team to have certain skills. Surgeons face a number of problems and issues: preoperative preparation of the patient, the position of the surgeon to the left or right during the operation, the choice of conduit for anastomosis, and the tactics of the operation.

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Transcatheter Aortic Valve Replacement in a Patient With Dextrocardia and Situs Inversus Totalis

Cited by 6 publications

References 6 publications

Interventional treatment of basilar trunk artery aneurysms associated with situs inversus totalis: A case report

Interventional treatment of basilar trunk artery aneurysms associated with situs inversus totalis: A case report

Therapy of Patients with Cardiac Malposition

Coronary Artery Bypass Grafting in a Patient with Situs Inversus Totalis

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