title: Valve sparing surgery in an adult patient with dextrocardia and annuloaortic ectasia.
abstract: We report the case of a patient with situs inversus totalis, annuloaortic ectasia complicated by aortic insufficiency and mitral regurgitation which induced congestive heart failure. Both valvular lesions were repaired physiologically using aortic root sparing Yacoub 'remodeling' technique and mitral ring annuloplasty. Valve sparing techniques can be used effectively even in patients with complicated clinical scenarios (like dextrocardia and annuloaortic ectasia) to avoid the potential risks related to prosthetic valve implantation and lifelong anticoagulation therapy.
authors.affiliation: Department of Cardiovascular Surgery, Faculty of Medicine, BezmiÂlem Foundation University, Istanbul, Turkey.
authors.forename: Rahmi
authors.initials: R
authors.lastname: Zeybek
authors.affiliation: Department of Cardiology, Faculty of Medicine, BezmiÂlem Foundation University, Istanbul, Turkey.
authors.forename: Ahmet
authors.initials: A
authors.lastname: Bacaksiz
authors.affiliation: Department of Radiology, Faculty of Medicine, BezmiÂlem Foundation University, Istanbul, Turkey.
authors.forename: Rasul
authors.initials: R
authors.lastname: Sharifov
authors.affiliation: Department of Cardiology, Faculty of Medicine, BezmiÂlem Foundation University, Istanbul, Turkey.
authors.forename: Emrah
authors.initials: E
authors.lastname: Sevgili
authors.affiliation: Department of Cardiovascular Surgery, Faculty of Medicine, BezmiÂlem Foundation University, Istanbul, Turkey.
authors.forename: Yasin
authors.initials: Y
authors.lastname: Ay
keywords: aortic aneurysm; dextrocardia; situs inversus