scholarly journals Alterações anatômicas e intervenções cirúrgicas na dextrocardia: uma revisão sistemática

2021 ◽  
Vol 9 (1) ◽  
pp. 151-160
Author(s):  
Fernanda Farias Costa ◽  
Keiscielly Assunção Faria Silveira ◽  
Amanda Cristina Gomes Borba ◽  
Stefânia Domingos De Deus ◽  
Raiane Antunes Sampaio ◽  
...  
Keyword(s):  
Situs Inversus ◽  
Full Text ◽  
Situs Inversus Totalis

Objetivo: Identificar as alterações anatômicas em exames diagnósticos e a viabilidade de intervenções cirúrgicas em pacientes com Dextrocardia. Fontes de dados: Trata-se de uma revisão sistemática nas bases de dados Biblioteca Virtual em Saúde (BVS) e PubMed. Utilizou-se Descritores em ciências da saúde (Decs) combinados com o operador booleano “AND”, no Pubmed, os descritores foram em inglês “Dextrocardia situs inversus totalis” AND “diagnosis”, usando filtros “full text” e “last 5 years”, já na BVS, os descritores foram em português com os mesmos filtros. Síntese de dados: As variações anatômicas nos exames diagnósticos são: localização do coração no hemitórax direito, em que o ápice do órgão, veias cavas superior e inferior estão direcionadas à direita e no eletrocardiograma há desvio do eixo para extrema direita com a presença de complexos QRS no plano precordial invertidos. Para a execução de qualquer intervenção cirúrgica adequada deve-se determinar diagnóstico anatômico e avaliação pré-operatória pormenorizados junto a uma equipe preparada. Os procedimentos cirúrgicos em pacientes com dextrocardia são: intervenção robótica de retirada de trombo em apêndice atrial direito em gestante, revascularização do miocárdio, inserção intra-stent nas oclusões totais das coronárias, transplante pulmonar e cirurgias valvares mitral, tricúspide, aórtica e no seio aórtico. Conclusão: Conclui-se que é necessário o conhecimento prévio da alteração anatômica, sendo facilmente determinado por meio de exames de imagem e eletrocardiograma para conduzir qualquer caso de dextrocardia. O estudo demonstrou viabilidade intervencionista em procedimentos cirúrgicos habituais intra e extra-cardíacos, evidenciando sucesso na maioria deles.

scholarly journals Anesthetic management of a patient with situs inversus totalis undergoing coronary artery bypass grafting surgery: a case report

2021 ◽  
Vol 7 (1) ◽  
Author(s):  
Chigusa Nakasone ◽  
Masafumi Kanamoto ◽  
Wataru Tatsuishi ◽  
Tomonobu Abe ◽  
Shigeru Saito
Keyword(s):  
Coronary Artery ◽  
Coronary Artery Bypass Grafting ◽  
Coronary Artery Bypass ◽  
Situs Inversus ◽  
Anesthetic Management ◽  
Artery Bypass ◽  
Situs Inversus Totalis ◽  
Bypass Grafting ◽  
Artery Bypass Grafting ◽  
Intraoperative Management

Abstract Background Anesthetic management of coronary artery bypass grafting surgery (CABG) in a dextrocardia patient with situs inversus totalis is rarely encountered and seldom reported in the literature. Case presentation A 76-year-old Japanese female patient had been diagnosed with situs inversus totalis and coronary artery disease of 3 vessels, and she subsequently underwent elective CABG. A preoperative examination showed almost normal results. ECG showed right deviation with the normal lead position. In the operating room, ECG leads were applied in reverse. Pulmonary artery catheterization was performed via the left internal jugular vein. A transesophageal echocardiography (TEE) probe was introduced without difficulty. A different angle was needed to acquire the desired views because of her atypical anatomy. Conclusion Careful perioperative evaluation, intraoperative management, and inspection of multiplane angle and probe adjustments in TEE are needed for anatomically abnormal patients.

scholarly journals Robotic-assisted proximal gastrectomy using the double-flap technique for early gastric cancer with situs inversus totalis: a case report

2021 ◽  
Vol 7 (1) ◽  
Author(s):  
Atsushi Takeno ◽  
Toru Masuzawa ◽  
Shinsuke Katsuyama ◽  
Kohei Murakami ◽  
Kenji Kawai ◽  
...  
Keyword(s):  
Gastric Cancer ◽  
Situs Inversus ◽  
Autosomal Recessive ◽  
Intraoperative Complications ◽  
Proximal Gastrectomy ◽  
Situs Inversus Totalis ◽  
Upper Body ◽  
Robot Assisted ◽  
Case Presentation ◽  
First Case

Abstract Background The robotic system has been applied in the treatment of gastric cancer (GC), and the procedure has been found to be safe and feasible. Situs inversus totalis (SIT) is a relatively rare autosomal recessive congenital anomaly. We successfully performed robot-assisted proximal gastrectomy (RAPG) and handsewn double-flap esophagogastrostomy for GC in a patient with SIT. Case presentation A 71-year-old woman was referred to us with an asymptomatic ulcerative lesion in the upper body of the stomach. Computed tomography revealed that she had SIT. She was diagnosed with cT1bN0M0, cStageIA gastric cancer. RAPG with lymph node dissection and handsewn double-flap esophagogastrostomy was performed. Robotic surgery enabled the surgeon to perform the surgery without changing his position and experiencing any confusion resulting from the patient’s reversed anatomy. It took 448 min, and no intraoperative complications occurred. Her postoperative course was uneventful; she was discharged on postoperative day 10. The final pathologic report showed pT1b1N0M0, pStage IA. Conclusions This is the first case describing RAPG with handsewn double-flap esophagogastrostomy for a SIT patient with early GC.

Robotic‐assisted surgery for rectal cancer with situs inversus totalis: A case report

2021 ◽  
Author(s):  
Shunsuke Kasai ◽  
Hitoshi Hino ◽  
Akio Shiomi ◽  
Hiroyasu Kagawa ◽  
Shoichi Manabe ◽  
...  
Keyword(s):  
Rectal Cancer ◽  
Case Report ◽  
Situs Inversus ◽  
Situs Inversus Totalis ◽  
Robotic Assisted ◽  
Robotic Assisted Surgery
Sign in / Sign up

Export Citation Format

Share Document