Left-sided 3D totally endoscopic mitral valve repair guided by left atrial appendage orientation in situs inversus totalis with mirror-image dextrocardia: a case report - Scorecard - MDSpire
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Three-Dimensional Totally Endoscopic Mitral Valve Repair Utilizing Left Atrial Appendage Orientation in a Case of Situs Inversus Totalis with Mirror-Image Dextrocardia

  • By

  • Qiuji Wang

  • Dagang Li

  • Gengliang Qin

  • Yalin Liao

  • Ping Zhao

  • Xu Chen

  • Ruiguo Qiao

  • Biru Zeng

  • Yueer Chen

  • Gangbing Ding

  • Xiaohua Liu

  • Hanwei Li

  • Bobo Shi

  • Xiaoxuan Lin

  • Daiqiang Huang

  • Zhaoxu Gai

  • Miao Xu

  • Qijun Zheng

  • Chunying Meng

  • September 25, 2026

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Clinical Scorecard: Three-Dimensional Totally Endoscopic Mitral Valve Repair Utilizing Left Atrial Appendage Orientation in a Case of Situs Inversus Totalis with Mirror-Image Dextrocardia

At a Glance

CategoryDetail
ConditionSitus Inversus Totalis with Mirror-Image Dextrocardia
Key MechanismsReversal of thoracoabdominal right-left anatomy affecting surgical approach.
Target PopulationPatients with severe degenerative mitral regurgitation and anatomical anomalies.
Care SettingCardiac surgery with a focus on minimally invasive techniques.

Key Highlights

  • Minimally invasive mitral valve surgery can be performed safely in patients with SIT and MID.
  • Preoperative imaging is critical for surgical planning and anatomical orientation.
  • A multidisciplinary team approach is essential for successful outcomes in complex cases.

Guideline-Based Recommendations

Diagnosis

  • Utilize transthoracic and transesophageal echocardiography for anatomical evaluation.

Management

  • Employ a three-dimensional totally endoscopic approach for mitral valve repair.

Monitoring & Follow-up

  • Assess left ventricular function and pulmonary artery pressures postoperatively.

Risks

  • Inadequate identification of mitral leaflet segments may lead to inappropriate repair strategies.

Patient & Prescribing Data

39-year-old woman with severe mitral regurgitation and no known comorbidities.

Three-dimensional imaging facilitated operative planning and valve analysis.

Clinical Best Practices

  • Ensure meticulous patient selection and preoperative imaging.
  • Coordinate surgical team communication to navigate mirror-image anatomy effectively.
  • Modify surgical techniques to accommodate anatomical variations.

Related Resources & Content

Original Source(s)

Left-sided 3D totally endoscopic mitral valve repair guided by left atrial appendage orientation in situs inversus totalis with mirror-image dextrocardia: a case report

  • by Qiuji Wang, Dagang Li, Gengliang Qin, Yalin Liao, Ping Zhao, Xu Chen, Ruiguo Qiao, Biru Zeng, Yueer Chen, Gangbing Ding, Xiaohua Liu, Hanwei Li, Bobo Shi, Xiaoxuan Lin, Daiqiang Huang, Zhaoxu Gai, Miao Xu, Qijun Zheng, Chunying Meng

  • September 25, 2026

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