Congenitally corrected transposition of the great arteries plus dextrocardia operated with an unusual operative technique
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Date
2008
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Abstract
We describe a case of congenitally corrected transposition of the great arteries plus dextrocardia and normal anatomical abdominal viscera. Systemic (tricuspid) valve replacement was performed due to moderately severe valve regurgitation. An unusual operative technique was used because of the patient's rare morphology. On cardiopulmonary bypass, the systemic valve was approached via a left atriotomy anterior to the left pulmonary veins, whereby the surgeon was positioned on the patient's left side. As the surgeon had excellent exposure from the opposite side of the table, he was able to perform a tricuspid valve replacement through the left atrium. Our aim is to share our limited experience of such cardiac morphology, which may oblige the surgeon to be positioned on the left side of the table to perform systemic valve surgery. © Georg Thieme Verlag KG Stuttgart.
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Abnormalities, Multiple , Cardiopulmonary Bypass , Dextrocardia , Female , Heart Valve Prosthesis Implantation , Humans , Middle Aged , Transposition of Great Vessels , Treatment Outcome , Tricuspid Valve Insufficiency , adult , angiocardiography , article , artificial heart pacemaker , cardiomegaly , cardioplegia , cardiopulmonary bypass , case report , complete heart block , dextrocardia , Doppler echocardiography , dyspnea , elective surgery , female , follow up , great vessels transposition , heart catheterization , heart left atrium , heart surgery , heart valve prosthesis , hemoptysis , hepatomegaly , hospital discharge , human , leg edema , postoperative period , priority journal , sinus tachycardia , sternotomy , surgical approach , surgical technique , syncope , thorax pain , treatment outcome , tricuspid valve regurgitation , tricuspid valve replacement , two dimensional echocardiography