Dual-Valve Repair in Dextrocardia and Situs Inversus Totalis
- VernacularTitle:右胸心，完全内臓逆位における僧帽弁形成術，三尖弁輪縫縮術，fullMAZE，左心耳閉鎖術の経験
- Author:
Masahiro INAGAKI
1
;
Yutaka KOYAMA
1
;
Koshi SAWADA
1
;
Shinji TOMITA
1
;
Yasuhide OKAWA
1
Author Information
- Keywords: cardiac valve annuloplasty; situs inversus; mitral valve insufficiency; tricuspid valve insufficiency
- From:Japanese Journal of Cardiovascular Surgery 2022;51(4):221-224
- CountryJapan
- Language:Japanese
- Abstract: A 59-year-old man, diagnosed with severe mitral regurgitation, moderate tricuspid regurgitation, and chronic atrial fibrillation with situs inversus totalis, was referred to our hospital. A median sternotomy approach was performed. The surgeon operated from the left side of the operating table, and had an excellent exposure to the mitral and tricuspid valves during the operation. The mitral valve was repaired with the posterior cusp plication technique and ring annuloplasty. The tricuspid valve was repaired with ring annuloplasty. We use a conventional semi rigid ring turned over, because the tricuspid valve has an asymmetric configuration. FullMAZE, and left atrial appendage closure were performed, too. The postoperative course was uneventful.
