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Anatomical Tricuspid Valve Replacement in a Patient with Corrected Transposition of the Great Arteries and Situs Inversus with 90° Clockwise Rotation of the Heart Through Right Thoracotomy
Author(s) -
Minami Tomoyuki,
Suzuki Sinichi,
Isomatsu Yukihisa,
Masuda Munetaka
Publication year - 2010
Publication title -
journal of cardiac surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.428
H-Index - 58
eISSN - 1540-8191
pISSN - 0886-0440
DOI - 10.1111/j.1540-8191.2010.01103.x
Subject(s) - medicine , situs inversus , great arteries , corrected transposition , clockwise , transposition (logic) , thoracotomy , cardiology , tricuspid valve , surgery , anatomy , rotation (mathematics) , heart disease , linguistics , philosophy , geometry , mathematics
The patient was a 34‐year‐old man with corrected transposition of the great arteries and situs inversus who was admitted with dyspnea. He had undergone ventricular septal defect closure and pulmonary valve commissurotomy at the age of 15. Preoperative examinations revealed severe tricuspid (systemic atrioventricular valve) insufficiency associated with dysfunction of the systemic (anatomical right) ventricle. The tricuspid valve orifice was shown to open dorsally by computed tomography. Because of 90° clockwise rotation of the heart, surgery was performed through right side thoracotomy. Tricuspid valve replacement with preservation of all leaflets and chordae tendineae was performed successfully, and the patient had an uneventful recovery after surgery. (J Card Surg 2010;25:740‐742)