Bentall Operation with Tricuspid Annuloplasty and Ligation of Persistent Left Superior vena cava after Repair of Tetralogy of Fallot in Situs Inversus Totalis
- VernacularTitle:完全内臓逆位，単冠動脈患者におけるファロー四徴症修復術後遠隔期の大動脈基部拡張症，三尖弁閉鎖不全症，逆位の左房還流型左上大静脈遺残に対する手術経験
- Author:
Masahiko IKEBUCHI
1
;
Yuki KIMURA
1
;
Ryosuke TAKI
1
;
Kazutoshi TANO
1
Author Information
- Keywords: Bentall operation; Tetralogy of Fallot; situs inversus totalis
- From:Japanese Journal of Cardiovascular Surgery 2025;54(5):223-227
- CountryJapan
- Language:Japanese
- Abstract: We report a case of a 52-year-old man with situs inversus totalis who underwent repair of tetralogy of Fallot in his childhood. He also experienced cerebral embolism at the age of 50 years, and recovered with no sequela after endovascular thrombectomy. Two years later, he was admitted to our hospital due to progressing orthopnea. He was diagnosed with congestive heart failure caused by severe aortic regurgitation with moderate tricuspid regurgitation and pulmonary hypertension. Three-dimensional computed tomography also showed aortic root dilation, single coronary artery, and inverse persistent left superior vena cava (PLSVC) draining into the left atrium, which was assumed to be associated with the previous stroke. A Bentall operation, tricuspid annuloplasty, and concomitant ligation of the PLSVC were performed.
