title: Left-sided approach for mitral valve replacement in a case of dextrocardia with situs solitus.
abstract: Mitral valve surgery in dextrocardia is technically challenging due to its anatomical malposition. Minor modifications are required in the surgical technique to counteract the problems during cannulation and exposure of the mitral valve. We report a case of a patient with dextrocardia, situs solitus, rheumatic heart disease, severe mitral regurgitation, moderate pulmonary artery hypertension, and severe left ventricular dysfunction who underwent mitral valve replacement using a two-stage right atrial cannulation with left-sided left atrial atriotomy, with the surgeon standing on the left side of the patient. Our approach for mitral valve surgery in this clinical setting is simple.
authors.affiliation: Department of Cardiothoracic and Vascular Surgery, Post Graduate Institute of Medical Education and Research & Dr. Ram Manohar Lohia Hospital, New Delhi, India.
authors.forename: Mhonchan
authors.initials: M
authors.lastname: Kikon
authors.forename: Aamir
authors.initials: A
authors.lastname: Kazmi
authors.forename: Anubhav
authors.initials: A
authors.lastname: Gupta
authors.forename: Vijay
authors.initials: V
authors.lastname: Grover
mesh_terms: D003914:Dextrocardia / Q000150:complications* / Q000175:diagnosis; D065627:Familial Primary Pulmonary Hypertension; D019918:Heart Valve Prosthesis Implantation / Q000379:methods*; D006801:Humans; D006976:Hypertension, Pulmonary / Q000150:complications; D008297:Male; D008944:Mitral Valve Insufficiency / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D012214:Rheumatic Heart Disease / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D012720:Severity of Illness Index; D016896:Treatment Outcome; D018487:Ventricular Dysfunction, Left / Q000150:complications; D055815:Young Adult
keywords: Dextrocardia; Situs solitus; Valve replacement
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