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CASE REPORT
Year : 2018  |  Volume : 7  |  Issue : 4  |  Page : 203-206

Importance of imaging for transcatheter aortic valve replacement in dextrocardia with situs inversus totalis


1 Department of Cardiovascular Surgery, Santa Maria Hospital-GVM Care and Research, Bari, Italy
2 Department of Anesthesia and Intensive Care Unit, Giovanni XXIII-Policlinico, Bari, Italy

Correspondence Address:
Dr. Dambruoso Pierpaolo
Department of Cardiovascular Surgery, Santa Maria Hospital-GVM Care and Research, Via De Ferrariis 22; 70124 Bari
Italy
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/rcm.rcm_25_18

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We describe imaging utility for trans-femoral aortic valve replacement (TAVR) with 29-mm Core-Valve Evolut R self-expanding valve prosthesis in a singular case of an old man with symptomatic severe aortic stenosis (SAS), dextrocardia, and situs inversus totalis. Cardiac computed tomography plays a pivotal role from pre-procedural planning to TAVR by our heart-team. It gives crucial information to choice the appropriate valve sizing, to avoid paravalvular leak, coronaries obstructions, or serious aortic injuries. To the best of our knowledge, this is the first case of TAVR successfully performed in Italy in a patient with symptomatic SAS, dextrocardia and situs inversus totalis.


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