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KMID : 1155520190140020193
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Anesthesia and Pain Medicine
2019 Volume.14 No. 2 p.193 ~ p.196
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Anesthetic considerations for a patient with situs inversus totalis undergoing cardiac surgery - A case report -
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Koo Chang-Hoon
Shim Jae-Kwang
Kim Nam-Hoon
Ki Yu-Min
Park Jun-Beom
Kim Jong-Chan
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Abstract
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A 58-year-old male patient with situs inversus totalis, a rare congenital malformation characterized by all asymmetric organs being formed as the mirror images of their normal morphologies, underwent mitral valve repair due to mitral valve prolapse. This case was reported to suggest that anesthesiologists should thoroughly understand the anatomy of these types of patients before providing cardiac anesthesia that often requires advanced monitoring and rely on their accurate interpretation. Accordingly, a few key points will be discussed with emphasis on reversing lead placement during electrocardiogram monitoring, using the left internal jugular vein for pulmonary artery catheterization, and firmly comprehending mirror image heart morphology to better conduct transesophageal echocardiography.
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KEYWORD
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Anesthesia, Situs inversus totalis, Thoracic surgery
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Listed journal information
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