Left atrial appendage occlusion in a mirror-image dextrocardia:A case report and review of literature  

作　　者：Bei Tian Chuang Ma Jin-Wen Su Jun Luo Hong-Xia Sun Jie Su Zhong-Ping Ning 

机构地区：[1]Zhoupu Hospital Shanghai University of Medicine&Health Sciences,Shanghai University of Traditional Chinese Medicine,Shanghai 200437,China [2]Longhua Hospital Shanghai University of Traditional Chinese Medicine,Shanghai University of Traditional Chinese Medicine,Shanghai 200437,China [3]Shache County People's Hospital,Kashgar 200437,Xinjiang Uygur Autonomous Region,China

出　　处：《World Journal of Clinical Cases》2022年第4期1357-1365,共9页世界临床病例杂志

基　　金：Supported by Pudong New Area Science and Technology Development Fund Livelihood Scientific Research Project:Medical and Health,No.PKJ2020-Y106;Shanghai Pudong New District Medical Discipline Construction Project C Cardiovascular Internal Medicine Clinical Plateau Discipline,No.PWYgy2018-03;Shanghai Key Medical Specialty Construction Project,No.ZK2019B25;Scientific Research Project of Shanghai Municipal Health and Family Planning Commission(Youth Project),No.20184Y0230.

摘　　要：BACKGROUND In mirror-image dextrocardia,the anterior-posterior position of the cardiac chambers and great vessels is maintained,but the left-right orientation of the abdominal organs is reversed.The abnormal anatomy of the heart poses surgical challenges and problems in dealing with surgical risk and monitoring complications.There are few reports on closure of the left atrial appendage(LAA)in dextrocardia and no reports on the application of enhanced recovery after surgery(ERAS)following LAA occlusion(LAAO)procedures.CASE SUMMARY The objective for this case was to ensure perioperative safety and accelerate postoperative recovery from LAAO in a patient with mirror-image dextrocardia.ERAS was guided by the theory and practice of nursing care.Atrial fibrillation was diagnosed in a 77-year-old male patient,in whom LAAO was performed.The 2019 guidelines for perioperative care after cardiac surgery recommend that the clinical nursing procedures for patients with LAAO should be optimized to reduce the incidence of perioperative complications and ensure patient safety.Music therapy can be used throughout perioperative treatment and nursing to improve the anxiety symptoms of patients.CONCLUSION The procedure was uneventful and proceeded without complications.Anxiety symptoms were improved.

关 键 词：Atrial fibrillation DEXTROCARDIA Left atrial appendage occlusion Music therapy Enhanced recovery after surgery Case report 

分 类 号：R654.2[医药卫生—外科学]