PMC7388168_01
Transthoracic echocardiography with color Doppler showing severe mitral valve regurgitation and severe mitral valve stenosis.
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A type IIIA severe mitral regurgitation was also detected (Fig. 1).
Preoperative imaging demonstrating situs inversus totalis and dextrocardia.
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The 3D reconstruction showed a concordant connection of the heart and great vessels (Fig. 2).
(A) Left minimally invasive approach. (B) Rheumatic native mitral valve was replaced by an artificial mechanical valve.
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The rheumatic mitral valve was excised, a mechanical valve was implanted using pledgeted sutures, the basal part of the posterior leaflet and its chordae were preserved (Fig. 3).