Percutaneous Mitral Balloon Valvuloplasty in a Patient with Situs Inversus with Dextrocardia: A Case Report
Kalyan Munde
Department of Cardiology, Grant Government Medical College and Sir J.J. Group of Hospitals, Mumbai, Maharashtra, India.
Mohan Paliwal
*
Department of Cardiology, Grant Government Medical College and Sir J.J. Group of Hospitals, Mumbai, Maharashtra, India.
Anant Munde
Department of Cardiology, Grant Government Medical College and Sir J.J. Group of Hospitals, Mumbai, Maharashtra, India.
Samkit Mutha
Department of Cardiology, Grant Government Medical College and Sir J.J. Group of Hospitals, Mumbai, Maharashtra, India.
Hariom Kolapkar
Department of Cardiology, Grant Government Medical College and Sir J.J. Group of Hospitals, Mumbai, Maharashtra, India.
Anagh T S
Department of Cardiology, Grant Government Medical College and Sir J.J. Group of Hospitals, Mumbai, Maharashtra, India.
Jayakrishna Niari
Department of Cardiology, Grant Government Medical College and Sir J.J. Group of Hospitals, Mumbai, Maharashtra, India.
*Author to whom correspondence should be addressed.
Abstract
Situs inversus with dextrocardia is a rare congenital disorder. There is a rare coincidence of rheumatic severe mitral stenosis in a patient with situs inversus and dextrocardia. Most of these patients undergo surgery due to technical difficulty, here we report a case of a 41-year-old male managed successfully with percutaneous intervention. Percutaneous mitral balloon valvuloplasty (PMBV) is feasible in these rare group patient with some additional modifications of the standard Accura balloon technique. Procedure should be carried out under Transthoracic echocardiography (TEE) guidance with surgical team standby in case emergency need of surgery. Despite all the precautions, careful watch on these patients has to be kept during immediate post procedure phase for at least 12 hours for any untoward complication.
Keywords: Dextrocardia, Rheumatic mitral stenosis, Inoue technique, Percutaneous mitral balloon valvuloplasty, Situs inversus totalis