Mini ASD closure in dextrocardia with situs inversus by lalt approach: A surgical challenge

Authors

Thakut Gowtham¹ , Aneesh Lawande¹ , Herin Patel¹ , Archit Patel¹ , Kartik Patel¹

1. U. N. Mehta Institute of Cardiology and Research Center, India

Conference / event

Indian Association of Cardiovascular-Thoracic Surgery Conference (IACTSCON), February 2023 (Coimbatore, India)

Poster summary

The present case report describes a 44-year female patient of ostium secundum ASD in dextrocardia with situs inversus. The patient underwent mini ASD closure by left anterolateral thoracotomy approach (LALT). The procedure has achieved good clinical and cosmetic results.

Keywords

Minimal invasive surgery, Dextrocardia, Atrial septal defect, Situs inversus

Research areas

Anatomy and Physiology, Medicine

References

1. Bohun CM, Potts JE, Casey BM, Sandor GG. A population- based study of cardiac malformations and outcomes associated with dextrocardia. Am J Cardiol 2007; 100:305-309.
2. Naveen Garg, B L Agarwal, Nitin Modi, S Radhakrishnan, Nakul Sinha. Dextrocardia: an analysis of cardiac structures in 125 patients. Int J Cardiol 2003; 88: 143-155
3. Bichell DP, Geva T, Bacha EA, Mayer JE, Jonas RA, del Nido PJ. Minimal access approach for the repair of atrial septal defect: the initial 135 patients. Ann Thorac Surg. 2000; 70:115-8.
4. Konstantinov IE, Buratto E. Atrial septal defect closure via ministernotomy in children. Heart Lung Circ. 2021;30: e98-100.
5. Black MD, Freedom RM. Minimally invasive repair of atrial septal defects. Ann Thorac Surg. 1998; 65:765-7.
6. Barbero-Marcial M, Tanamati C, Jatene MB, Atik E, Jatene AD. Transxiphoid approach without median sternotomy for the repair of atrial septal defects. Ann Thorac Surg. 1998; 65:771-4.
7. Vida VL, Tessari C, Fabozzo A, Padalino MA, Barzon E, Zucchetta F, et al. The evolution of the right anterolateral thoracotomy technique for correction of atrial septal defects: cosmetic and functional results in prepubescent patients. Ann Thorac Surg. 2013; 95:242-7.
8. Dave HH, Comber M, Solinger T, Bettex D, Dodge-Khatami A, Pr^etre R. Mid- term results of right axillary incision for the repair of a wide range of congenital cardiac defects. Eur J Cardiothorac Surg. 2009; 35:864-70.
9. Dabritz S, Sachweh J, Walter M, Messmer BJ. Closure of atrial septal defects via a limited right anterolateral thora- cotomy as a minimal invasive approach in female patients. Eur J Cardiothor Surg 1999; 15:18–23.
10. Lancaster LL, Mavroudis C, Rees AH, Slater AD, Ganzel BL, Gray LA, Jr. Surgical approach to atrial septal defect in the female. Right thoracotomy versus sternotomy. Am Surg 1990; 56:218 –2

Funding

No data provided

Supplemental files

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Additional information

Competing interests

No competing interests were disclosed.

Data availability statement

Data sharing not applicable to this poster as no datasets were generated or analyzed during the current study.

Creative Commons license

Copyright © 2023 Gowtham et al. This is an open access work distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.