Pulmonary Varices Associated with Mitral Valve Disease: A Case Report and Survey of the Literature

We consider mitral valve disease requiring surgery in a patient with dextrocardia and situs inversus totalis to be an exceptional finding. The transseptal approach for mitral valve surgery in dextrocardia represents a technical challenge owing to its anatomic particulars. We present the case of a 56-year-old female patient who had been diagnosed with situs inversus totalis in childhood and with chronic atrial fibrillation in adulthood and was under oral anticoagulant treatment. She was referred to our hospital for increasing dyspnea and palpitation. Transthoracic echocardiography detected severe mitral regurgitation associated with moderate tricuspid regurgitation, with normal left and right ventricular function. Contrast chest computed tomography (CT) and preoperative abdominal CT showed both dextrocardia and situs inversus totalis, with normal continuity of the inferior vena cava. Biatrial cannulation was performed with the surgeon standing on the right side of the patient, and mitral valve replacement using a transseptal approach was performed with the surgeon standing on the left side of the patient. In this case report, we emphasize the rarity of mitral valve disease in a patient with dextrocardia and the inherent potential difficulty that can appear in this particular anatomic condition.

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PP-070 UNILATERAL PULMONARY EDEMA SEEN IN PATIENT WITH MASSIVE PLEURAL EFFUSION AND MITRAL VALVE DISEASE-A CASE REPORT

International Journal of Cardiology ◽

10.1016/s0167-5273(10)70215-1 ◽

2010 ◽

Vol 140 ◽

pp. S62

Author(s):

Mertay Boran ◽

Ertay Boran ◽

Nesligul Yildirim

Keyword(s):

Case Report ◽

Pleural Effusion ◽

Mitral Valve ◽

Pulmonary Edema ◽

Mitral Valve Disease ◽

Valve Disease ◽

Massive Pleural Effusion ◽

Unilateral Pulmonary Edema

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Large left atrial thrombus in a patient in sinus rhythm without mitral valve disease: A case report

10.22541/au.163257189.92369942/v1 ◽

2021 ◽

Author(s):

Hironobu Nishiori ◽

Hiroyuki Watanabe ◽

Yuichi Hirano ◽

Masayoshi Otsu

Keyword(s):

Atrial Fibrillation ◽

Case Report ◽

Mitral Valve ◽

Mitral Valve Disease ◽

Left Atrial ◽

Atrial Septum ◽

Valve Disease ◽

Left Atrial Thrombus ◽

Atrial Thrombus ◽

History Of

We report a case of a 63-year-old man without a history of atrial fibrillation or mitral valve disease who was admitted to our hospital. Echocardiography revealed a large left atrial mass attached to the atrial septum. We suspected the mass to be a myxoma, but it turned out to be a large thrombus after the surgery. Left atrial thrombus without mitral valve disease or atrial fibrillation is rare. Although the degree of urgency varies based on the case, early surgical resection is recommended for a large left atrial thrombus to prevent embolism.

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Transseptal transcatheter mitral valve replacement

Russian Journal of Cardiology ◽

10.15829/1560-4071-2020-3842 ◽

2020 ◽

Vol 25 (8) ◽

pp. 3842

Author(s):

V. I. Ganyukov ◽

R. S. Tarasov ◽

I. V. Ganyukov

Keyword(s):

Case Report ◽

Mitral Valve ◽

Valve Replacement ◽

Mitral Valve Replacement ◽

Mitral Valve Disease ◽

Current Data ◽

Valve Disease ◽

Less Invasive ◽

Transcatheter Mitral Valve Replacement

The review presents current data transseptal transcatheter mitral valve replacement, which is becoming an alternative method of managing mitral valve disease. Despite the fact that the transapical transcatheter approach is technically simpler, the transseptal method is less invasive. It has confirmed effectiveness and is predicted to be the most promising. The review describes the relevance, indications, methodology for selecting the required endoprosthesis, stages of procedure, complications, and the postoperative follow-up of patients. The results of publications on transseptal transcatheter mitral valve replacement are analyzed. A case report is given.

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