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1 Professor of Surgery, University of Louisville School of Medicine, Health Sciences Center, Louisville, Ky
Mitral valvotomy was performed in a 45-year-old woman with mirror-image dextrocardia, situs inversus and acquired mitral stenosis. The literature was reviewed and a total of 15 reported cases was found, with surgical treatment in 4. Closed mitral valvotomy has been the treatment in all cases to date, and was successful in each. An open-heart approach was perfectly feasible in our case, but was reserved for the future when valve replacement might be required.
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