Transesophageal echocardiography for cardiac herniation occurring during robotic-assisted mitral valve repair: a case report.

ABSTRACT:

Background

Cardiac herniation has been reported in thoracic trauma and after pneumonectomy; however, it is sporadic in cardiac surgery.

Case presentation

A 35-year-old male patient underwent an elective totally endoscopic robotic-assisted mitral valve repair (TERMVR). His hemodynamics were stable after weaning from cardiopulmonary bypass, and no residual mitral valve regurgitation was observed. However, during suturing of the port wound, the patient developed hypotension, which improved with phenylephrine administration. Four-chamber transesophageal echocardiography (TEE) images showed cardiac deformity, and postoperative chest radiography confirmed the dextrocardia. The cardiac herniation was repaired by deflating the left lung and over-inflating the right lung using a doub

SUBMITTER: Miyata K 

PROVIDER: S-EPMC9837337 | biostudies-literature | 2023 Jan

REPOSITORIES: biostudies-literature