Kumano Hiroshi, Shuntoh Keisuke, Yamaguchi Akimitsu, Tatsu Kazuhito
Department of Cardiovascular Surgery, Northern Okinawa Cardiovascular Center, Nago, Japan.
Kyobu Geka. 2017 Feb;70(2):135-137.
Situs inversus totalis and mirror-image dextrocardia is a rare congenital anomaly. A 79-year-old man with a history of atrial fibrillation presented to our hospital with chest oppression. Chest X-ray and computed tomography showed mirror-image dextrocardia and situs inversus totalis. Echocardiography revealed severe mitral and aortic regurgitation and mild tricuspid regurgitation. Mitral and aortic valve replacement using bioprosthesises, tricuspid annuloplasty and closure of the left atrial appendage were successfully performed. Surgical procedures were mainly performed by the surgeon standing on the left side of the patient, and by the assistant standing on the right side when necessary. The patient was discharged in good condition on the 23th postoperative day.
完全性内脏反位及镜像右位心是一种罕见的先天性异常。一名有房颤病史的79岁男性因胸部压迫感前来我院就诊。胸部X线和计算机断层扫描显示镜像右位心及完全性内脏反位。超声心动图显示重度二尖瓣和主动脉瓣反流以及轻度三尖瓣反流。成功实施了使用生物假体的二尖瓣和主动脉瓣置换术、三尖瓣成形术及左心耳闭合术。手术操作主要由站在患者左侧的外科医生进行，必要时由站在右侧的助手协助。患者术后第23天状况良好出院。
