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Robotic atrial septal defect closure and tricuspid annuloplasty in a case of situs inversus totalis with dextrocardia

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Abstract

Situs inversus totalis (SIT) with dextrocardia is an uncommon congenital positional anomaly, which is characterized by a symmetrical ‘mirror-image’ orientation of all organs in relation to the midline. Although sternotomy and thoracotomy is traditionally used in patients with SIT with dextrocardia, a totally endoscopic robotic surgery is an alternative surgical approach to intracardiac anomalies. Placement of robotic ports, transthoracic aortic clamp, cardioplegia delivery, and peripheral vascular cannulation is made from the left side of the chest, as a mirror orientation of the right-sided robotic cardiac procedures. Here, we present a patient who underwent concomitant robotic atrial septal defect closure and tricuspid annuloplasty with posterior plication using the da Vinci surgical system.

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Authors and Affiliations

  1. Department of Cardiovascular Surgery, Istanbul Mehmet Akif Ersoy Thoracic and Cardiovascular Surgery Hospital, Turgut Ozal Bulvari, No: 11, Kucukcekmece, 34303, Istanbul, Turkey

    Burak Onan, Unal Aydin & Ihsan Bakir

  2. Department of Anesthesiology, Istanbul Mehmet Akif Ersoy Thoracic and Cardiovascular Surgery Hospital, Istanbul, Turkey

    Zeynep Kahraman

Authors
  1. Burak Onan
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  2. Unal Aydin
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  3. Zeynep Kahraman
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  4. Ihsan Bakir
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Corresponding author

Correspondence to Burak Onan.

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Funding

This study was not funded.

Conflict of interest

Burak Onan, Unal Aydin, Zeynep Kahraman, and Ihsan Bakir declare that they have no conflict of interest.

Written informed consent was obtained from the patient for publication of this Case Report/any accompanying images. A copy of the written consent is available for review by the Editor-in-Chief of this journal.

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Onan, B., Aydin, U., Kahraman, Z. et al. Robotic atrial septal defect closure and tricuspid annuloplasty in a case of situs inversus totalis with dextrocardia. J Robotic Surg 11, 87–90 (2017). https://doi.org/10.1007/s11701-016-0619-3

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  • DOI: https://doi.org/10.1007/s11701-016-0619-3

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