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Cardiac surgery for annuloaortic ectasia and mitral regurgitation in an adult patient with dextrocardia
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Cardiac surgery for annuloaortic ectasia and mitral regurgitation in an adult patient with dextrocardia
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Journal Article
Cardiac surgery for annuloaortic ectasia and mitral regurgitation in an adult patient with dextrocardia
2011
Overview
We report a surgical case of dextrocardia complicated with annuloaortic ectasia (AAE) and mitral regurgitation, which induced congestive heart failure. Preoperative electrocardiography-gated multidetector-row computed tomography (MDCT) showed the following complex cardiovascular abnormalities without motion artifacts: dextrocardia, situs inversus, polysplenia, AAE, absence of the inferior vena cava, azygos vein continuation, drainage of the hepatic vein into the right atrium, and bilateral superior venae cavae. On the basis of the MDCT data, we established a cardiopulmonary bypass; and a modified Bentall procedure (Piehler method) and mitral valve replacement were performed without complications.
Publisher
Springer Japan,Springer Nature B.V
Subject
/ Aortic Aneurysm, Thoracic - diagnosis
/ Aortic Aneurysm, Thoracic - etiology
/ Aortic Aneurysm, Thoracic - surgery
/ Aortic Valve Insufficiency - diagnosis
/ Aortic Valve Insufficiency - etiology
/ Aortic Valve Insufficiency - surgery
/ Blood Vessel Prosthesis Implantation
/ Cardiac-Gated Imaging Techniques
/ Dextrocardia - complications
/ Genetic Diseases, X-Linked - complications
/ Genetic Diseases, X-Linked - diagnosis
/ Heart Valve Prosthesis Implantation
/ Humans
/ Male
/ Medicine
/ Mitral Valve Insufficiency - diagnosis
/ Mitral Valve Insufficiency - etiology
/ Mitral Valve Insufficiency - surgery
