Patient Who Had Total Situs Inversus with Dextrocardia and A Partial Anterior Papillary Muscle Rupture Who Underwent Successful Mitral Valve Repair with Coronary Revascularization
Rezan Aksoy*
, Muhammed Ali Oya, Cüneyt Arkan, Murat Bülent Rabuş
Department of Cardiovascular Surgery, University of Health Sciences, Kosuyolu High Specialization Training and Research Hospital, İstanbul, Türkiye
Keywords: Dextrocardia; mitral valve repair; papillary muscle rupture; total situs inversus.
Abstract
Total situs inversus (TSI) with dextrocardia is an infrequent anatomical characteristic and anterior papillary muscle rupture (PMR) is one of the rare mechanical complications following myocardial infarction. A 56-year-old man who had a history of mitral valve regurgitation (MR) presented with dyspnea to the emergency department. Upon transesophageal echocardiography, there were dextrocardia and chordal flail in the A1 scallop. Coronary angiography showed a substantial stenosis of the left anterior descending artery (LAD). Computed tomography of the thorax and abdomen showed TSI. During the operation, dextrocardia and chordal flail with partial anterior PMR at the A1 segment were observed. Following the mitral valve repair (MVr) with an artificial neo-chord and the ring annuloplasty implantation, coronary revascularization (LAD-right mammarian artery) was performed. On the control TOE, he had no MR. Conclusion: Patients who had TSI with dextrocardia and partial anterior PMR can undergo successful MVr.
* The current affiliation of the author: Department of Cardiovascular Surgery, Dr. Siyami Ersek Thoracic Heart and Vascular Surgery Training and Research Hospital, İstanbul, Türkiye.
Cite This Article: Aksoy R, Oya MA, Arkan C, Rabuş MB. Patient Who Had Total Situs Inversus with Dextrocardia and A Partial Anterior Papillary Muscle Rupture Who Underwent Successful Mitral Valve Repair with Coronary Revascularization. Koşuyolu Heart J 2024;27(2):93–96.
Written informed consent was obtained from the patient for the publication of the case report and the accompanying images.
Externally peer-reviewed.
Concept – R.A.; Design – R.A.; Supervision – R.A.; Funding – R.A., M.A.O.; Materials – R.A.; Data collection and/or processing – C.A., M.A.O.; Data analysis and/or interpretation – R.A., M.B.R.; Literature search – R.A.; Writing – R.A.; Critical review – R.A., M.B.R.
All authors declared no conflict of interest.
Not declared.
The authors declared that this study received no financial support.