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全内脏转位患者的完全三维内镜二尖瓣置换术。

Totally three-dimensional endoscopic mitral valve replacement in a patient with situs inversus totalis.

作者信息

Kanamori Taro, Yamanaka Shota, Onga Yohei, Maekawa Koki, Takahashi Shu

机构信息

Department of Cardiovascular Surgery, Kawaguchi Cardiovascular and Respiratory Hospital, 1-1-51, Maekawa, Kawaguchi, Saitama 333-0842, Japan.

出版信息

J Surg Case Rep. 2024 Sep 16;2024(9):rjae583. doi: 10.1093/jscr/rjae583. eCollection 2024 Sep.

DOI:10.1093/jscr/rjae583
PMID:39286648
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11404503/
Abstract

Situs inversus totalis (SIT) with dextrocardia is a rare congenital anomaly that poses a surgical challenge. This case report presents the first known case of a totally 3D endoscopic mitral valve replacement (MVR), which was performed in a 75-year-old woman with SIT and severe functional mitral regurgitation. Despite the anatomical complexity, the procedure was successfully completed using a simplified three-port system and a 3D endoscope by requiring careful preoperative planning and intraoperative adaptation to the mirrored anatomy of SIT. This case report demonstrates the feasibility and potential benefits of totally endoscopic MVR in patients withSIT.

摘要

全内脏反位（SIT）伴右位心是一种罕见的先天性异常，给手术带来挑战。本病例报告介绍了首例已知的完全三维内镜二尖瓣置换术（MVR），该手术在一名75岁患有SIT和严重功能性二尖瓣反流的女性患者身上进行。尽管解剖结构复杂，但通过精心的术前规划和术中适应SIT的镜像解剖结构，使用简化的三端口系统和三维内镜成功完成了手术。本病例报告证明了完全内镜下MVR在SIT患者中的可行性和潜在益处。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/048d/11404503/ee33c8d250d8/rjae583f4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/048d/11404503/37fc67f1a3ba/rjae583f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/048d/11404503/aff340c41140/rjae583f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/048d/11404503/27ea39a11a8c/rjae583f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/048d/11404503/ee33c8d250d8/rjae583f4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/048d/11404503/37fc67f1a3ba/rjae583f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/048d/11404503/aff340c41140/rjae583f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/048d/11404503/27ea39a11a8c/rjae583f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/048d/11404503/ee33c8d250d8/rjae583f4.jpg

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本文引用的文献

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Case report: Video-assisted minimally invasive mitral and pulmonary valve replacement as reoperation in patient with situs inversus totalis.病例报告：全内脏反位患者再次手术的电视辅助微创二尖瓣和肺动脉瓣置换术
Front Cardiovasc Med. 2023 Aug 3;10:1053923. doi: 10.3389/fcvm.2023.1053923. eCollection 2023.
2
Minimally invasive mitral valve surgery versus conventional sternotomy mitral valve surgery: A systematic review and meta-analysis of 119 studies.微创二尖瓣手术与传统胸骨切开术二尖瓣手术的比较：119 项研究的系统评价和荟萃分析。
J Card Surg. 2022 May;37(5):1319-1327. doi: 10.1111/jocs.16314. Epub 2022 Feb 16.
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Three-Dimensional Endoscopic-Assisted Concomitant Mitral and Aortic Valve Surgery.
三维内窥镜辅助同期二尖瓣和主动脉瓣手术。
Ann Thorac Surg. 2022 Jul;114(1):e63-e66. doi: 10.1016/j.athoracsur.2021.10.026. Epub 2021 Nov 17.
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Minimally invasive dual-valve repair in situs inversus totalis: strategy for tricuspid valve.完全性内脏反位中的微创双瓣修复：三尖瓣策略。
Asian Cardiovasc Thorac Ann. 2021 Nov;29(9):957-959. doi: 10.1177/0218492320984891. Epub 2020 Dec 29.
5
Minimally invasive mitral valve replacement and concomitant Cox-Maze IV procedure using radiofrequency energy in situs inversus totalis: A case report.全内脏反位患者采用射频能量进行微创二尖瓣置换术及同期Cox迷宫IV手术：一例报告
Int J Surg Case Rep. 2020;73:285-288. doi: 10.1016/j.ijscr.2020.07.053. Epub 2020 Jul 18.
6
Three-port (one incision plus two-port) endoscopic mitral valve surgery without robotic assistance.三孔（一个切口加两个孔）非机器人辅助内镜二尖瓣手术。
Eur J Cardiothorac Surg. 2017 May 1;51(5):913-918. doi: 10.1093/ejcts/ezw430.
7
Minimally invasive mitral valve repair in situs inversus totalis.全内脏转位患者的微创二尖瓣修复术。
J Card Surg. 2016 Dec;31(12):718-720. doi: 10.1111/jocs.12859. Epub 2016 Nov 8.
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Minimally invasive cardiac surgery: A systematic review and meta-analysis.微创心脏手术：一项系统评价与荟萃分析。
Int J Cardiol. 2016 Nov 15;223:554-560. doi: 10.1016/j.ijcard.2016.08.227. Epub 2016 Aug 16.
9
The Expanding Role of Endoscopic Robotics in Mitral Valve Surgery: 1,257 Consecutive Procedures.内镜机器人在二尖瓣手术中不断扩大的作用：1257例连续手术。
Ann Thorac Surg. 2015 Nov;100(5):1675-81; discussion 1681-2. doi: 10.1016/j.athoracsur.2015.05.068. Epub 2015 Aug 18.
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