García Vieites María, Martinez-Sapiña Llanas María Jose, Gómez Zincke Marcos, Bouzas Zubeldía Beatriz, Bautista-Hernandez Victor
1 Department of Cardiovascular Surgery, 16811 Coruna University Hospital , Coruna, Spain.
2 Department of Radiology, 16811 Coruna University Hospital , Coruna, Spain.
Asian Cardiovasc Thorac Ann. 2018 Feb;26(2):142-145. doi: 10.1177/0218492318755180. Epub 2018 Jan 16.
Dextrocardia with situs solitus and severe mitral regurgitation is a rare clinical presentation which posse a surgical challenge and requires specific preoperative planning. A 54-year-old women with this anatomy, multiple thoracic procedures, and severe mitral valve regurgitation underwent successful mitral valve replacement with a 27-mm mechanical prosthesis through a left thoracotomy under ventricular fibrillation, on the basis of computed tomography findings. We emphasize the importance of preoperative planning and a surgical approach through a left thoracotomy and under ventricular fibrillation.
右位心伴内脏正位及严重二尖瓣反流是一种罕见的临床表现，带来了手术挑战，需要进行特定的术前规划。一名54岁女性，具有这种解剖结构、接受过多次胸部手术且患有严重二尖瓣反流，根据计算机断层扫描结果，在心室颤动下通过左胸切口成功植入了一个27毫米的机械瓣膜进行二尖瓣置换。我们强调术前规划以及通过左胸切口和在心室颤动下进行手术的重要性。
