Minimally invasive mitral valve replacement redo surgery under ventricular fibrillation in a patient with dextrocardia and situs inversus totalis: a case report

Abstract Background Dextrocardia is a rare cardiac malposition where the heart’s normal orientation is reversed and is most commonly associated with situs inversus totalis (SIT). Such cases are technically challenging when heart surgery is needed, especially re-do surgery. Case presentation A 72-yea...

Full description

Saved in:
Bibliographic Details
Main Authors: Yu Han, Junnan Zheng, Pranav Nadapana, Yedija Bagaskara, Yilin Lai, Haige Zhao
Format: Article
Language:English
Published: BMC 2025-01-01
Series:Journal of Cardiothoracic Surgery
Subjects:
Online Access:https://doi.org/10.1186/s13019-024-03290-w
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1832585372418179072
author Yu Han
Junnan Zheng
Pranav Nadapana
Yedija Bagaskara
Yilin Lai
Haige Zhao
author_facet Yu Han
Junnan Zheng
Pranav Nadapana
Yedija Bagaskara
Yilin Lai
Haige Zhao
author_sort Yu Han
collection DOAJ
description Abstract Background Dextrocardia is a rare cardiac malposition where the heart’s normal orientation is reversed and is most commonly associated with situs inversus totalis (SIT). Such cases are technically challenging when heart surgery is needed, especially re-do surgery. Case presentation A 72-year-old female patient was referred to our hospital with complaints of chest tightness and reduced activity tolerance. The patient had a history of mitral valve replacement (MVR) with a bioprosthesis ten years prior. Chest X-ray showed dextrocardia with SIT in the patient. Structural valve degeneration of the mitral bioprosthesis and moderate tricuspid regurgitation were observed by transthoracic echocardiography. The patient underwent a successful re-do mitral valve replacement under ventricular fibrillation (VF) via a left anterolateral mini-thoracotomy. The recovery of the patient was uneventful. Conclusions Redo MVR under VF without aortic cross-clamping through a mini-thoracotomy can be safely and effectively carried out in patients with SIT.
format Article
id doaj-art-9ee5720660c64ff8b457e3bfd53d1b81
institution Kabale University
issn 1749-8090
language English
publishDate 2025-01-01
publisher BMC
record_format Article
series Journal of Cardiothoracic Surgery
spelling doaj-art-9ee5720660c64ff8b457e3bfd53d1b812025-01-26T12:51:52ZengBMCJournal of Cardiothoracic Surgery1749-80902025-01-012011510.1186/s13019-024-03290-wMinimally invasive mitral valve replacement redo surgery under ventricular fibrillation in a patient with dextrocardia and situs inversus totalis: a case reportYu Han0Junnan Zheng1Pranav Nadapana2Yedija Bagaskara3Yilin Lai4Haige Zhao5Department of Cardiovascular Surgery, The First Affiliated Hospital, School of Medicine, Zhejiang UniversityDepartment of Cardiovascular Surgery, The First Affiliated Hospital, School of Medicine, Zhejiang UniversitySchool of Medicine, Zhejiang UniversitySchool of Medicine, Zhejiang UniversitySchool of Medicine, Zhejiang UniversityDepartment of Cardiovascular Surgery, The First Affiliated Hospital, School of Medicine, Zhejiang UniversityAbstract Background Dextrocardia is a rare cardiac malposition where the heart’s normal orientation is reversed and is most commonly associated with situs inversus totalis (SIT). Such cases are technically challenging when heart surgery is needed, especially re-do surgery. Case presentation A 72-year-old female patient was referred to our hospital with complaints of chest tightness and reduced activity tolerance. The patient had a history of mitral valve replacement (MVR) with a bioprosthesis ten years prior. Chest X-ray showed dextrocardia with SIT in the patient. Structural valve degeneration of the mitral bioprosthesis and moderate tricuspid regurgitation were observed by transthoracic echocardiography. The patient underwent a successful re-do mitral valve replacement under ventricular fibrillation (VF) via a left anterolateral mini-thoracotomy. The recovery of the patient was uneventful. Conclusions Redo MVR under VF without aortic cross-clamping through a mini-thoracotomy can be safely and effectively carried out in patients with SIT.https://doi.org/10.1186/s13019-024-03290-wMitral valve replacementRedo surgeryMinimally invasiveDextrocardiaSitus inversus totalis
spellingShingle Yu Han
Junnan Zheng
Pranav Nadapana
Yedija Bagaskara
Yilin Lai
Haige Zhao
Minimally invasive mitral valve replacement redo surgery under ventricular fibrillation in a patient with dextrocardia and situs inversus totalis: a case report
Journal of Cardiothoracic Surgery
Mitral valve replacement
Redo surgery
Minimally invasive
Dextrocardia
Situs inversus totalis
title Minimally invasive mitral valve replacement redo surgery under ventricular fibrillation in a patient with dextrocardia and situs inversus totalis: a case report
title_full Minimally invasive mitral valve replacement redo surgery under ventricular fibrillation in a patient with dextrocardia and situs inversus totalis: a case report
title_fullStr Minimally invasive mitral valve replacement redo surgery under ventricular fibrillation in a patient with dextrocardia and situs inversus totalis: a case report
title_full_unstemmed Minimally invasive mitral valve replacement redo surgery under ventricular fibrillation in a patient with dextrocardia and situs inversus totalis: a case report
title_short Minimally invasive mitral valve replacement redo surgery under ventricular fibrillation in a patient with dextrocardia and situs inversus totalis: a case report
title_sort minimally invasive mitral valve replacement redo surgery under ventricular fibrillation in a patient with dextrocardia and situs inversus totalis a case report
topic Mitral valve replacement
Redo surgery
Minimally invasive
Dextrocardia
Situs inversus totalis
url https://doi.org/10.1186/s13019-024-03290-w
work_keys_str_mv AT yuhan minimallyinvasivemitralvalvereplacementredosurgeryunderventricularfibrillationinapatientwithdextrocardiaandsitusinversustotalisacasereport
AT junnanzheng minimallyinvasivemitralvalvereplacementredosurgeryunderventricularfibrillationinapatientwithdextrocardiaandsitusinversustotalisacasereport
AT pranavnadapana minimallyinvasivemitralvalvereplacementredosurgeryunderventricularfibrillationinapatientwithdextrocardiaandsitusinversustotalisacasereport
AT yedijabagaskara minimallyinvasivemitralvalvereplacementredosurgeryunderventricularfibrillationinapatientwithdextrocardiaandsitusinversustotalisacasereport
AT yilinlai minimallyinvasivemitralvalvereplacementredosurgeryunderventricularfibrillationinapatientwithdextrocardiaandsitusinversustotalisacasereport
AT haigezhao minimallyinvasivemitralvalvereplacementredosurgeryunderventricularfibrillationinapatientwithdextrocardiaandsitusinversustotalisacasereport