[Successful surgical treatment of a case of corrected transposition in situs inversus with associated anomalies].
A 33-year-old female with corrected transposition (situs inversus) with ventricular septal defect (VSD), atrial septal defect (ASD), and pulmonary stenosis (valvular and subvalvular) was operated successfully. Closure of ASD and infracristal VSD was performed through right atrial approach. In order to get complete exposure of VSD, a part of anterior leaflet of mitral valve was detached temporally. An external conduit was interposed between the morphologic left ventricle and the main pulmonary artery to relieve pulmonary stenosis. Postoperative course was uneventful except a transient complete heart block for a day. Several technical aspects of the radical operation were discussed including VSD closure method to avoid damaging the atrioventricular conducting tissues and reconstructive procedure of morphological left ventricular outflow.
Matsui
Y
Y
Second Department of Surgery, Hokkaido University School of Medicine, Sapporo, Japan.
Goh
M
M
Gohda
T
T
Sakai
K
K
Yasuda
K
K
Tanabe
T
T
D000015:Abnormalities, Multiple / Q000601:surgery*; D000328:Adult; D001807:Blood Vessel Prosthesis; D005260:Female; D006344:Heart Septal Defects, Atrial / Q000150:complications / Q000601:surgery; D006345:Heart Septal Defects, Ventricular / Q000150:complications / Q000601:surgery; D006801:Humans; D011666:Pulmonary Valve Stenosis / Q000150:complications / Q000601:surgery; D012857:Situs Inversus / Q000150:complications / Q000601:surgery*; D014188:Transposition of Great Vessels / Q000150:complications / Q000601:surgery*