Percutaneous mitral balloon valvotomy in a case of situs inversus dextrocardia with severe rheumatic mitral stenosis

Kulkarni, Prashanth; Halkati, Prabhu; Patted, Suresh; Ambar, Sameer; Yavagal, Suresh T

doi:10.1016/j.carrev.2012.03.003

Cited by 3 publications

(2 citation statements)

References 7 publications

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“…Rheumatic fever appears to occur in dextrocardia patients as well, resulting in mitral stenosis. When mitral stenosis is severe, surgical commissurotomy [ 131 ] or balloon mitral valvuloplasty with either conventional balloons or Inoue balloons [ 132 , 133 , 134 , 135 , 136 , 137 , 138 , 139 , 140 ] could be successfully performed.…”

Section: Management Of Cardiac Malposition Patients During Adulthoodmentioning

confidence: 99%

Therapy of Patients with Cardiac Malposition

Rao

2023

Children

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Positional abnormalities per se do not require treatment, but in their place, the accompanying pulmonary pathology in dextroposition patients and pathophysiologic hemodynamic abnormalities resulting from multiple defects in patients with cardiac malposition should be the focus of treatment. At the time of the first presentation, treating the pathophysiologic aberrations caused by the defect complex, whether it is by improving the pulmonary blood flow or restricting it, is the first step. Some patients with simpler or single defects are amenable to surgical or transcatheter therapy and should be treated accordingly. Other associated defects should also be treated appropriately. Biventricular or univentricular repair dependent on the patient’s cardiac structure should be planned. Complications in-between Fontan stages and after conclusion of Fontan surgery may occur and should be promptly diagnosed and addressed accordingly. Several other cardiac abnormalities unrelated to the initially identified heart defects may manifest in adulthood, and they should also be treated.

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Section: Management Of Cardiac Malposition Patients During Adulthoodmentioning

confidence: 99%

Therapy of Patients with Cardiac Malposition

Rao

2023

Children

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“…[456] However, our case is unique and challenging in view of associated congenitally corrected transposition of great arteries. Balloon valvotomy was performed with modifications of the standard Inoue technique, previously described in similar settings.…”

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confidence: 99%

Balloon valvotomy for rheumatic valvar stenosis in a patient with complex congenital heart disease

et al. 2016

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Mirror Image Dextrocardia with Severe Rheumatic Mitral Stenosis Undergone Successful Percutaneous Transvenous Commissurotomy: The First Case in East Africa

Tadesse,

Birhan

2024

IMCRJ

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Percutaneous transvenous mitral commissurotomy is an established treatment for rheumatic mitral stenosis. Dextrocardic heart can be affected by rheumatic pathology just like the normal heart. However, it is technically demanding to percutaneous interventions especially the septal puncture which should be done in a mirror image of the normal. Here we are reporting a 45 year old woman with severe rheumatic mitral stenosis with dextrocardia with situs inversus totalis. She has undergone a successful percutaneous transvenous mitral commissurotomy.

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Percutaneous mitral balloon valvotomy in a case of situs inversus dextrocardia with severe rheumatic mitral stenosis

Cited by 3 publications

References 7 publications

Therapy of Patients with Cardiac Malposition

Therapy of Patients with Cardiac Malposition

Balloon valvotomy for rheumatic valvar stenosis in a patient with complex congenital heart disease

Mirror Image Dextrocardia with Severe Rheumatic Mitral Stenosis Undergone Successful Percutaneous Transvenous Commissurotomy: The First Case in East Africa

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