title: Robotic atrial septal defect closure and tricuspid annuloplasty in a case of situs inversus totalis with dextrocardia.
abstract: Situs inversus totalis (SIT) with dextrocardia is an uncommon congenital positional anomaly, which is characterized by a symmetrical 'mirror-image' orientation of all organs in relation to the midline. Although sternotomy and thoracotomy is traditionally used in patients with SIT with dextrocardia, a totally endoscopic robotic surgery is an alternative surgical approach to intracardiac anomalies. Placement of robotic ports, transthoracic aortic clamp, cardioplegia delivery, and peripheral vascular cannulation is made from the left side of the chest, as a mirror orientation of the right-sided robotic cardiac procedures. Here, we present a patient who underwent concomitant robotic atrial septal defect closure and tricuspid annuloplasty with posterior plication using the da Vinci surgical system.
authors.affiliation: Department of Cardiovascular Surgery, Istanbul Mehmet Akif Ersoy Thoracic and Cardiovascular Surgery Hospital, Turgut Ozal Bulvari, No: 11, Kucukcekmece, 34303, Istanbul, Turkey. burakonan@hotmail.com.
authors.forename: Burak
authors.initials: B
authors.lastname: Onan
authors.affiliation: Department of Cardiovascular Surgery, Istanbul Mehmet Akif Ersoy Thoracic and Cardiovascular Surgery Hospital, Turgut Ozal Bulvari, No: 11, Kucukcekmece, 34303, Istanbul, Turkey.
authors.forename: Unal
authors.initials: U
authors.lastname: Aydin
authors.affiliation: Department of Anesthesiology, Istanbul Mehmet Akif Ersoy Thoracic and Cardiovascular Surgery Hospital, Istanbul, Turkey.
authors.forename: Zeynep
authors.initials: Z
authors.lastname: Kahraman
authors.affiliation: Department of Cardiovascular Surgery, Istanbul Mehmet Akif Ersoy Thoracic and Cardiovascular Surgery Hospital, Turgut Ozal Bulvari, No: 11, Kucukcekmece, 34303, Istanbul, Turkey.
authors.forename: Ihsan
authors.initials: I
authors.lastname: Bakir
mesh_terms: D058385:Cardiac Valve Annuloplasty / Q000379:methods*; D003914:Dextrocardia / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*; D005260:Female; D006344:Heart Septal Defects, Atrial / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D008279:Magnetic Resonance Imaging; D008875:Middle Aged; D013902:Radiography, Thoracic; D065287:Robotic Surgical Procedures / Q000379:methods*; D012857:Situs Inversus / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*; D014261:Tricuspid Valve / Q000601:surgery*
keywords: Atrial septal defect; Dextrocardia; Robotic surgery; Situs inversus totalis; Tricuspid valve annuloplasty