Mini Atrial Septal Defect Closure In Dextrocardia With Situs Inversus By Left Anterolateral Thoracotomy(Lalt) Approach - A Surgical Challenge

Port J Card Thorac Vasc Surg. 2025 Jan 25;31(4):37-40. doi: 10.48729/pjctvs.482.

Abstract

Background: ASD is a relatively rare subset among patients with situs inversus dextrocardia with concordant AV connection and a minimally invasive approach in dextrocardia has yet to be standardized. The present case describes a case surgical closure of ostium secundum ASD by left mini-thoracotomy approach in patient with dextrocardia and situs inversus.

Case presentation: The present case describes a 44-year female patient of ostium secundum ASD in dextrocardia with situs inversus. The patient was operated for minimal invasive ASD closure by left anterolateral thoracotomy approach (LALT). The procedure has achieved good clinical and cosmetic results Conclusion: This article describes surgical techniques to overcome the challenges in subset of dextrocardia with situs inversus patients.

Keywords: Cardiopulmonary bypass; Dextrocardia; Left anterolateral thoracotomy.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Cardiac Surgical Procedures / methods
  • Dextrocardia* / complications
  • Dextrocardia* / diagnostic imaging
  • Dextrocardia* / surgery
  • Female
  • Heart Septal Defects, Atrial* / complications
  • Heart Septal Defects, Atrial* / surgery
  • Humans
  • Minimally Invasive Surgical Procedures / methods
  • Situs Inversus* / complications
  • Situs Inversus* / diagnostic imaging
  • Situs Inversus* / surgery
  • Thoracotomy* / methods
  • Treatment Outcome