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  • Title: Aortic valve replacement for dextrocardia with situs inversus totalis.
    Author: Aoyagi S, Tobinaga S, Wada K, Nata SI, Yasunaga H.
    Journal: J Card Surg; 2021 Sep; 36(9):3378-3380. PubMed ID: 34148254.
    Abstract:
    Dextrocardia is a rare congenital cardiac positional anomaly. A 74-year-old woman was referred for aortic regurgitation (AR). Chest X-ray revealed a mildly enlarged heart that directed to the right side. Transthoracic echocardiography showed AR due to cusp prolapse with a dilated left ventricle and reduced wall motion. Computed tomography demonstrated the heart and great vessels in a mirror image of their normal positions. A median sternotomy performed by the surgeon standing on the right side of the patient. After establishing a cardiopulmonary bypass, the surgeon moved to the left side of the patient, and then performed aortic valve replacement.
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