Tricuspid Valve Replacement in an Adult Patient with Congenitally Corrected Transposition of the Great Arteries and Situs Inversus
10.4326/jjcvs.43.80
- VernacularTitle:三尖弁置換術を行った内臓逆位，修正大血管転位の1成人例
- Author:
Takashi Wakabayashi
;
Kazuo Yamamoto
;
Tsutomu Sugimoto
;
Yuki Okamoto
;
Kaori Kato
;
Shinya Mimura
;
Shinpei Yoshii
- Publication Type:Journal Article
- Keywords:
congenitally corrected transposition of the great arteries;
situs inversus;
tricuspid valve replacement
- From:Japanese Journal of Cardiovascular Surgery
2014;43(2):80-83
- CountryJapan
- Language:Japanese
-
Abstract:
A 62-year-old woman was admitted to our hospital because of dextrocardia on her chest X-ray film. She had been in good health though the X-ray abnormality had been pointed out from her childhood. Echocardiogram, magnetic resonance imaging, and cardiac catheterization revealed situs inversus, congenitally corrected transposition of the great arteries, and severe tricuspid valve (systemic atrioventricular valve) regurgitation with mild systemic ventricular dysfunction. The surgeon stood on the patient's left side during the operation. On cardiopulmonary bypass, the tricuspid valve, facing almost dorsally, was exposed through a superior transseptal approach. Tricuspid valve replacement with a mechanical valve was performed with leaflet preservation. Systemic ventricular function is preserved at one year after operation.
