Dextrocardia, situs solitus, inlet ventricular septal defect (VSD), and iatrogenic tricuspid regurgitation (TR)-A surgical perspective

J Card Surg. 2020 Jun;35(6):1383-1386. doi: 10.1111/jocs.14587. Epub 2020 Apr 29.


Dextrocardia with situs solitus is a rare congenital anomaly, often associated with intra- or extracardiac malformations. A clear understanding of the spatial orientation of the chambers of the heart for planning surgical approach, is imperative. Access to the right side of the heart, especially for repair of the tricuspid valve can be challenging. We describe a case of dextrocardia, situs solitus, inlet ventricular septal defect (VSD) with iatrogenic tricuspid regurgitation (TR) in an adult patient, highlighting the surgical aspects essential for a successful outcome.

Keywords: dextrocardia; iatrogenic; inlet ventricular septal defect; situs solitus; tricuspid regurgitation.

Publication types

  • Case Reports

MeSH terms

  • Abnormalities, Multiple / surgery*
  • Adult
  • Cardiac Surgical Procedures / methods*
  • Dextrocardia / diagnostic imaging
  • Dextrocardia / surgery*
  • Diagnostic Imaging
  • Female
  • Heart Septal Defects, Ventricular / diagnostic imaging
  • Heart Septal Defects, Ventricular / surgery*
  • Heart Valve Prosthesis Implantation / methods
  • Humans
  • Iatrogenic Disease
  • Situs Inversus / diagnostic imaging
  • Situs Inversus / surgery*
  • Treatment Outcome
  • Tricuspid Valve / diagnostic imaging
  • Tricuspid Valve / surgery*
  • Tricuspid Valve Insufficiency / surgery*
  • Young Adult