Emine Gazi, Ahmet Barutçu, Ercan Akşit, Emir Volina, Cengiz Demir

Çanakkale Onsekiz Mart Üniversitesi Tıp Fakültesi, Kardiyoloji, Çanakkale, Turkey

Keywords: dextrocardia, atrial septal defect, percutaneous closure, situs inversus totalis

Abstract

Situs inversus totalis (SIT) with dextrocardia and atrial septal defect (ASD) is extremely rare. Different position and inversion types are required different closure techniques. We present a dextrocardia patient whose ASD was closed percutaneously.
A 47-year-old female patient was referred for cardiological evaluation due to the diagnosis of SIT and dextrocardia while preparing for gall bladder surgery. The patient’s heart was located on the right side, right heart chambers were dilated and a secundum-type atrial septal defect of 15 mm in width was detected. A 20 mm ASD closure device (Occlutech, GmbH) was placed and the defect was completely covered.
In this case report, we defined technical differences and issues that should be considered when planning interventions in dextrocardia patients.