title: Cardiac surgery for annuloaortic ectasia and mitral regurgitation in an adult patient with dextrocardia.
abstract: We report a surgical case of dextrocardia complicated with annuloaortic ectasia (AAE) and mitral regurgitation, which induced congestive heart failure. Preoperative electrocardiography-gated multidetector-row computed tomography (MDCT) showed the following complex cardiovascular abnormalities without motion artifacts: dextrocardia, situs inversus, polysplenia, AAE, absence of the inferior vena cava, azygos vein continuation, drainage of the hepatic vein into the right atrium, and bilateral superior venae cavae. On the basis of the MDCT data, we established a cardiopulmonary bypass; and a modified Bentall procedure (Piehler method) and mitral valve replacement were performed without complications.
authors.affiliation: Department of Cardiovascular Surgery, Yotsuba Circulation Clinic, 4-3-53 Minami-edo, Matsuyama, Ehime 790-0062, Japan. yokoyama.y@yotsuba-heart.jp
authors.forename: Yuichiro
authors.initials: Y
authors.lastname: Yokoyama
authors.forename: Harumitsu
authors.initials: H
authors.lastname: Satoh
authors.forename: Mitsunori
authors.initials: M
authors.lastname: Abe
authors.forename: Mitsugi
authors.initials: M
authors.lastname: Nagashima
authors.forename: Akira
authors.initials: A
authors.lastname: Kurata
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Higashino
mesh_terms: D017545:Aortic Aneurysm, Thoracic / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D001022:Aortic Valve Insufficiency / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D019917:Blood Vessel Prosthesis Implantation; D006348:Cardiac Surgical Procedures; D055424:Cardiac-Gated Imaging Techniques; D002315:Cardiopulmonary Bypass; D003914:Dextrocardia / Q000150:complications / Q000175:diagnosis; D004108:Dilatation, Pathologic; D040181:Genetic Diseases, X-Linked / Q000150:complications / Q000175:diagnosis; D006333:Heart Failure / Q000209:etiology / Q000601:surgery; D019918:Heart Valve Prosthesis Implantation; D059446:Heterotaxy Syndrome; D006801:Humans; D008297:Male; D008875:Middle Aged; D008944:Mitral Valve Insufficiency / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D012857:Situs Inversus / Q000150:complications / Q000175:diagnosis; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome