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Personalized Surgical Tactics for an Adult Patient with Mitral Insufficiency and Dextrocardia with Situs Inversus Totalis.

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Affiliations

  • 1. Tomsk National Research Medical Center Cardiology Research Institute Cardiovascular Surgery Department Russian Federation Cardiovascular Surgery Department, Cardiology Research Institute, Tomsk National Research Medical Center, Russian Academy of Sciences, Russian Federation.
      Authors
    • Kozlov BN 1
    • Petlin KA 1
    • Lelik EV 1
    • Afanasieva NL 1
    • Arsenyeva YA 1
    • Chernykh YN 1
    • Kim EB 1
    (7 authors)

Brazilian Journal of Cardiovascular Surgery, 01 May 2026, 41(3)
https://doi.org/10.21470/1678-9741-2024-0234 PMID: 41370412 PMCID: PMC12700024

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Abstract 

We present a clinical case of mitral insufficiency in a 59-year-old patient with dextrocardia and complete transposition of the viscera. The patient underwent mitral valve posterior leaflet repair and annuloplasty. During the operation, a "mirror inversion" of the equipment and surgery team position was carried out. The special feature of the operation was due to the fact that the aorta and great vessels in the wound were mirror-image. The postoperative period proceeded without complications. Being aware of the patient's dextrocardia and hence organizing the surgical procedure appropriately, we could achieve good results in radical surgery for valvular heart disease.

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Read article at publisher's site: https://doi.org/10.21470/1678-9741-2024-0234

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