Anesthetic considerations for a patient with situs inversus totalis undergoing cardiac surgery: A case report
10.17085/apm.2019.14.2.193
- Author:
Chang Hoon KOO
1
;
Jae Kwang SHIM
;
Namhoon KIM
;
Yumin KI
;
Junbeom PARK
;
Jong Chan KIM
Author Information
1. Department of Anesthesiology and Pain Medicine, CHA Bundang Medical Center, Seongnam, Korea. aescula72@hanmail.net
- Publication Type:Case Report
- Keywords:
Anesthesia;
Situs inversus totalis;
Thoracic surgery
- MeSH:
Anesthesia;
Catheterization, Swan-Ganz;
Echocardiography, Transesophageal;
Electrocardiography;
Heart;
Humans;
Jugular Veins;
Male;
Middle Aged;
Mitral Valve;
Mitral Valve Prolapse;
Situs Inversus;
Thoracic Surgery
- From:Anesthesia and Pain Medicine
2019;14(2):193-196
- CountryRepublic of Korea
- Language:English
-
Abstract:
A 58-year-old male patient with situs inversus totalis, a rare congenital malformation characterized by all asymmetric organs being formed as the mirror images of their normal morphologies, underwent mitral valve repair due to mitral valve prolapse. This case was reported to suggest that anesthesiologists should thoroughly understand the anatomy of these types of patients before providing cardiac anesthesia that often requires advanced monitoring and rely on their accurate interpretation. Accordingly, a few key points will be discussed with emphasis on reversing lead placement during electrocardiogram monitoring, using the left internal jugular vein for pulmonary artery catheterization, and firmly comprehending mirror image heart morphology to better conduct transesophageal echocardiography.
