Department of Transcatheter Heart Valves, Hygeia Hospital, Athens, Greece.
Department of Transcatheter Heart Valves, Hygeia Hospital, Athens, Greece.
Ann Thorac Surg. 2019 Jan;107(1):e33-e35. doi: 10.1016/j.athoracsur.2018.05.041. Epub 2018 Aug 16.
This report presents the case of an 82-year-old man with known dextrocardia and situs inversus totalis who presented with increasing dyspnea on exertion and was diagnosed with severe aortic stenosis. Transcatheter aortic valve replacement was performed and required deviation from standard techniques for patients with normal anatomy and left-sided aortic arch. We describe two technical differences required for patients with dextrocardia and right-sided aortic arch that facilitate transcatheter aortic valve replacement in this patient group.
本报告介绍了一例 82 岁男性病例，该患者已知患有右位心和内脏反位，表现为进行性运动性呼吸困难，并被诊断为严重主动脉瓣狭窄。行经导管主动脉瓣置换术，需要偏离正常解剖结构和左位主动脉弓患者的标准技术。我们描述了右位心和右位主动脉弓患者所需的两种技术差异，这些差异为该患者群体的经导管主动脉瓣置换术提供了便利。
