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Situs inversus and coronary artery disease
Nevzat Erdil1, Levent Cetin, Erol Sener
1Department of Cardiovascular Surgery, Department of Cardiology, Alkan Hospital, Ankara, Turkey. n_erdil@yahoo.com
Asian Cardiovascular & Thoracic Annals
|June 25, 2002
Summary
Situs inversus totalis patients with coronary artery disease can undergo successful myocardial revascularization. This case report details a successful surgical procedure for a 56-year-old woman.
Area of Science:
- Cardiology
- Surgical Innovation
Background:
- Situs inversus totalis is a rare congenital condition where major visceral organs are reversed.
- Myocardial revascularization in situs inversus patients presents unique surgical challenges due to anatomical variations.
Observation:
- A 56-year-old female patient diagnosed with situs inversus totalis and significant coronary artery disease.
Findings:
- The patient underwent successful coronary artery bypass grafting (CABG).
- The surgical procedure involved anastomosis of the right internal mammary artery (RIMA) to the left anterior descending artery (LAD) and a saphenous vein graft (SVG) to the right coronary artery (RCA).
Implications:
- This successful revascularization demonstrates the feasibility of complex cardiac surgery in patients with situs inversus totalis.
- Highlights the importance of meticulous surgical planning and execution for complex congenital anomalies in cardiovascular surgery.