JACC. Case reports · 2026
Successful Transcatheter Mitral Edge-to-Edge Repair in Patient With Situs Inversus Due to Kartagener Syndrome.
Клинический случайСтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
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Ошибки и ограничения
История · было → стало
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Foszcz Piotr, Schmidt Tobias, Ubben Timm, Tigges Eike, Chung Da-Un
Аннотация
OBJECTIVE: We describe a successful mitral valve transcatheter edge-to-edge repair in a patient with primary ciliary dyskinesia and situs inversus (Kartagener syndrome).
KEY STEPS: Preprocedural imaging was conducted to understand mirror-image anatomy. Transesophageal echocardiography angulation adjustment was needed for dextrocardia, and the MitraClip system was rotated by 180°for maneuverability. Sequential clip placement was performed with real-time three-dimensional guidance.
POTENTIAL PITFALLS: Altered anatomy complicates standard echocardiographic views. MitraClip orientation and steerability challenges require device rotation. Transesophageal echocardiography visualization may be impaired by acoustic shadowing; preoperative imaging in supine position is recommended. Vascular anomalies associated with Kartagener syndrome may complicate venous access.
TAKE-HOME MESSAGES: Mitral valve transcatheter edge-to-edge repair is feasible in situs inversus with proper imaging and procedural adjustments. Operator-echocardiographer coordination is critical for procedural success.
KEY STEPS: Preprocedural imaging was conducted to understand mirror-image anatomy. Transesophageal echocardiography angulation adjustment was needed for dextrocardia, and the MitraClip system was rotated by 180°for maneuverability. Sequential clip placement was performed with real-time three-dimensional guidance.
POTENTIAL PITFALLS: Altered anatomy complicates standard echocardiographic views. MitraClip orientation and steerability challenges require device rotation. Transesophageal echocardiography visualization may be impaired by acoustic shadowing; preoperative imaging in supine position is recommended. Vascular anomalies associated with Kartagener syndrome may complicate venous access.
TAKE-HOME MESSAGES: Mitral valve transcatheter edge-to-edge repair is feasible in situs inversus with proper imaging and procedural adjustments. Operator-echocardiographer coordination is critical for procedural success.