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Multiple coronary artery bypass grafting in dextrocardia: case report
The Medical Journal of Malaysia
|November 10, 2000
Summary
This report details a rare case of dextrocardia with situs inversus totalis experiencing unstable angina. Successful coronary artery bypass surgery was performed, marking a first in Malaysia and globally for this specific surgical approach.
Area of Science:
- Cardiology
- Congenital Heart Disease
- Cardiac Surgery
Background:
- Dextrocardia and situs inversus totalis are rare congenital conditions where the heart is on the right side and major visceral organs are mirrored.
- Patients with these conditions may present with various cardiac pathologies, posing unique diagnostic and surgical challenges.
Observation:
- A patient with dextrocardia and situs inversus totalis presented with symptoms of unstable angina.
- Coronary angiography identified severe coronary artery disease, including significant main stem and triple-vessel involvement.
Findings:
- The patient successfully underwent emergency coronary artery bypass graft surgery.
- This case represents the first reported instance in Malaysia and globally of multi-vessel coronary artery grafting in a patient with dextrocardia and situs inversus totalis, utilizing the right internal mammary artery.
Implications:
- This case highlights the feasibility and success of complex coronary artery bypass grafting in patients with complex congenital anomalies.
- It expands the surgical repertoire for treating coronary artery disease in individuals with dextrocardia and situs inversus totalis.
- The successful use of the right internal mammary artery in this context offers valuable insights for surgical planning in similar rare cases.