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Multiple coronary artery bypass grafting in dextrocardia: case report
Insights
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.
Abstract:
This is a case report of an unusual case of a patient with dextrocardia and "situs inversus totalis" who presented with unstable angina. Coronary angiography revealed severe main stem and severe triple vessel coronary artery disease. The patient later underwent successful emergency coronary artery bypass graft surgery. To the authors' knowledge this is the first reported case in Malaysia and also, the first ever report in the literature of multiple vessel coronary artery grafting, including the use of the right internal mammary artery.