Key result
Mitral valve replacement via left thoracotomy under ventricular fibrillation successfully treats severe MR in dextrocardia.
Why the study?
Dextrocardia with situs solitus and severe mitral regurgitation is a rare clinical presentation that poses a surgical challenge and requires specific preoperative planning.
Case Report (n=1)
Mitral valve replacement via a left thoracotomy under ventricular fibrillation is a feasible surgical approach for patients with dextrocardia, situs solitus, and severe mitral regurgitation.
Supports CT-planned left thoracotomy MVR in rare dextrocardia anatomy; extends case literature but leaves open prospective validation.
Dextrocardia with situs solitus and severe mitral regurgitation is a rare clinical presentation which posse a surgical challenge and requires specific preoperative planning. A 54-year-old women with this anatomy, multiple thoracic procedures, and severe mitral valve regurgitation underwent successful mitral valve replacement with a 27-mm mechanical prosthesis through a left thoracotomy under ventricular fibrillation, on the basis of computed tomography findings. We emphasize the importance of preoperative planning and a surgical approach through a left thoracotomy and under ventricular fibrillation.
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Vieites et al. (2018) conducted a case report in Dextrocardia with situs solitus and severe mitral regurgitation (n=1). Mitral valve replacement via a left thoracotomy under ventricular fibrillation was evaluated on Successful mitral valve replacement. Mitral valve replacement via a left thoracotomy under ventricular fibrillation was successfully performed in a patient with dextrocardia, situs solitus, and severe mitral regurgitation.
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