First case of trans apical implantation of an aortic valve in a patient with dextrocardia
© vH Weich et al; licensee BioMed Central Ltd. 2012
Received: 28 October 2011
Accepted: 13 March 2012
Published: 13 March 2012
We describe the clinical presentation and implantation procedure of the first transcatheter aortic valve implantation described in a patient with dextrocardia.
KeywordsAortic valve Replacement Cardiac catheterization/intervention Heart valve Transapical Percutaneous
transcatheter aortic valve implantation is a relatively new technology where an aortic valve is implanted via a catheter [usually from the femoral artery]. It may also be implanted via a direct puncture of the left ventricular apex. We describe the first case of transcatheter aortic valve implantation [TAVI] in a patient with dextrocardia.
The patient is a 66 year old female known with dextrocardia situs inversus. She also suffers from severe rheumatoid arthritis with multiple joint deformities and vertebral collapse due to steroid use. This has been treated with immunosuppressants over a prolonged period.
Dextrocardia is a rare condition and when not associated with Kartagener's syndrome, carries a normal life expectancy. It is therefore not unusual for patients to live up to ages where senile aortic stenosis is encountered. TAVI is a new technology requiring new skills for all operators involved and when this procedure is performed on a patient with dextrocardia, even more care should be taken to evaluate each step of the procedure for potential difficulties. We have however shown that with these precautions in place, this procedure is feasible.
written informed consent was obtained from the patient prior to the procedure.
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