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Mitral valve replacement in dextrocardia with situs inversus totalis: a good exposure

Safa Göde,¹ Taner İyigün,¹ Mehmet Yeniterzi,¹ Mehmet Kaya,¹ Mehmet Gül<sup>2

1</sup>Departments of Cardiovascular Surgery, İstanbul Mehmet Akif Ersoy Thoracic and Cardiovascular Surgery Training and Research Hospital, İstanbul, Turkey
²Departments of Cardiology, İstanbul Mehmet Akif Ersoy Thoracic and Cardiovascular Surgery Training and Research Hospital, İstanbul, Turkey

Keywords: Dextrocardia; mitral valve replacement; situs inversus totalis

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Situs inversus totalis with dextrocardia is a rare congenital anomaly. This is a reverse isomeric form of the thoracic and abdominal viscera or the complete mirror image. Left atrial approach for mitral valve surgery is required particularity in the treatment. Herein, we present a case of situs inversus, dextrocardia, and rheumatic mitral regurgitation. Standing in the left side of the patient, biatrial cannulation and left atrial approach for mitral valve replacement were performed. We described a new technique for biatrial cannulation and decannulation without lifting the heart.

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