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 - Takeaways - 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

Share

  • 1

    Situs inversus totalis with mirror-image dextrocardia presents unique challenges during cardiac surgery due to reversed anatomy.

  • 2

    Minimally invasive mitral valve surgery requires careful preoperative imaging and planning to navigate altered anatomical relationships.

  • 3

    A three-dimensional totally endoscopic approach was utilized for mitral valve repair in a patient with severe degenerative mitral regurgitation.

  • 4

    The surgical team employed a left-sided approach, adjusting retractor angles to accommodate the mirror-image anatomy during the procedure.

  • 5

    Standard right-handed instruments were used effectively, demonstrating that dedicated left-handed tools were unnecessary in this case.

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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