Altarabsheh Salah E, Al-Azzam Fuad M, Deo Salil V, Almomane Ade F, Al-Omari Abdullah, Alma'ayeh Sakher M, Obeidat Yagthan M, Rababa'h Abeer
Division of Cardiovascular Surgery, Queen Alia Heart Institute, Amman, Jordan.
Division of Cardiovascular Surgery, University Hospitals, Harrington Heart and Vascular Institute, Case Western Reserve University, Cleveland, OH, USA.
J Saudi Heart Assoc. 2017 Oct;29(4):297-299. doi: 10.1016/j.jsha.2017.03.007. Epub 2017 Mar 24.
Aortic valve replacement in patients with dextrocardia and situs inversus totalis is technically challenging due to anatomical considerations. Modifications of the cannulation strategy and operative tool sets are helpful. We report a 47-year-old man who had dextrocardia with situs inversus totalis with severe aortic regurgitation. Our approach was precisely planned depending on the clear anatomy outlined by preoperative contrast-enhanced computed tomography of the chest. We used a surgical approach in which the main surgeon was standing on the left side of the patient. Left sided approach provided excellent exposure for aortic valve replacement in this case scenario.
由于解剖学因素，为右位心及全内脏转位患者进行主动脉瓣置换术在技术上具有挑战性。调整插管策略和手术器械有助于手术进行。我们报告一例47岁男性患者，患有右位心及全内脏转位并伴有严重主动脉瓣反流。我们根据术前胸部对比增强计算机断层扫描所勾勒出的清晰解剖结构精确规划了手术方法。我们采用了主刀医生站在患者左侧的手术入路。在这种情况下，左侧入路为主动脉瓣置换术提供了极佳的视野。
