Transcatheter Aortic Valve Replacement in Dextrocardia With Situs Inversus

Malasana, Gangadhar; Zeglin, Magdalena; McElveen, Russell

doi:10.1016/j.jaccas.2020.04.019

Cited by 3 publications

(3 citation statements)

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“…Although our patients only underwent surgical repair of the mitral valve, there are sporadic reports of successful transcatheter aortic valve repair and transcatheter mitral valve repair procedures using a Carillon device (Cardiac Dimensions, Kirkland, WA, USA) in patients with valvular disease. 18 , 19 More options for the treatment of such patients in future are anticipated.…”

Section: Discussionmentioning

confidence: 99%

Mitral valve repair in patients with mirror-image dextrocardia and situs inversus: two cases and a review of the literature

Nie,

Tang,

Wang

et al. 2023

J Int Med Res

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Dextrocardia is a rare cardiac malposition that was first described in 1606. Mirror-image dextrocardia is characterized by a mirror-image change of the normal position of the heart. Most cases are accompanied by situs inversus viscerum, whereas only 3% to 10% of cases are associated with intracardiac anomalies. Valve surgery for acquired valvular lesions in patients with mirror-image dextrocardia with situs inversus is rare. Diagnosing situs anomalies in adults is important to prevent errors during surgical operations, emergency procedures, or interventional operations. In this report, we present two cases of mitral regurgitation in patients with mirror-image dextrocardia. One patient had mirror-image dextrocardia with subacute infective endocarditis and mitral regurgitation, and the other patient had mirror-image dextrocardia with mitral Carpentier type I regurgitation. In both patients, mitral valve repair was successfully performed using a transseptal approach.

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Section: Discussionmentioning

confidence: 99%

Mitral valve repair in patients with mirror-image dextrocardia and situs inversus: two cases and a review of the literature

Nie,

Tang,

Wang

et al. 2023

J Int Med Res

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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%

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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