Transcatheter aortic valve implantation for severe aortic stenosis in dextrocardia with situs inversus using a self-expanding aortic valve

Morita, Yuichi; Okimoto, Tomokazu; Nagamoto, Yasutsugu; Mochizuki, Seibu; Yamada, Kazunori

doi:10.1016/j.jccase.2018.02.004

Cited by 3 publications

(2 citation statements)

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“…Aortic valve (AV) abnormalities causing severe aortic regurgitation or severe stenosis may occur in dextrocardia patients [ 121 , 122 , 123 , 124 , 125 , 126 ]. Simpler balloon aortic valvuloplasty or surgical repair may be offered in younger populations.…”

Section: Management Of Cardiac Malposition Patients During Adulthoodmentioning

confidence: 99%

“…Simpler balloon aortic valvuloplasty or surgical repair may be offered in younger populations. Transcatheter [ 121 , 122 , 123 , 124 , 125 ] or surgical [ 126 ] replacement of the AV may be offered for the elderly to address AV abnormalities [ 121 , 122 , 123 , 124 , 125 , 126 ].…”

Section: Management Of Cardiac Malposition Patients During Adulthoodmentioning

confidence: 99%

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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%

Section: Management Of Cardiac Malposition Patients During Adulthoodmentioning

confidence: 99%

Therapy of Patients with Cardiac Malposition

Rao

2023

Children

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TAVI in Patient Suffering from Niemann–Pick Disease (Acid Sphingomyelinase Deficiency) with Concomitant Situs Inversus and Dextrocardia

Feo¹,

D'Anzi²,

Pestrichella³

et al. 2023

Cardiol Ther

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Acid sphingomyelinase deficiency (ASMD)—also known as Niemann–Pick (NP) disease—is a rare, autosomal recessive disorder which is characterized by deficiency of the lysosomal enzyme acid sphingomyelinase (ASM), resulting in excessive storage of lipids in organs (i.e., spleen, liver, lung, bone marrow, lymph nodes, and vascular system). Only a few cases of moderate-to-severe valvular heart disease due to ASMD are described in the literature, mostly in adulthood. We report here the case of a patient with NP disease subtype B that was diagnosed during adulthood. NP disease in this patient was found to be associated with situs inversus. Specifically, a severe, symptomatic aortic stenosis was identified, and the need for surgical or percutaneous intervention was discussed. The heart team chose transcatheter aortic valvular implantation (TAVI), which was successfully performed with no complications on follow-up.

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Dextrocardia: When Right is Wrong!

Lakkireddy¹

2020

Journal of Atrial Fibrillation

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Transcatheter aortic valve implantation for severe aortic stenosis in dextrocardia with situs inversus using a self-expanding aortic valve

Cited by 3 publications

References 4 publications

Therapy of Patients with Cardiac Malposition

Therapy of Patients with Cardiac Malposition

TAVI in Patient Suffering from Niemann–Pick Disease (Acid Sphingomyelinase Deficiency) with Concomitant Situs Inversus and Dextrocardia

Dextrocardia: When Right is Wrong!

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