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Beating heart surgery in a patient with dextrocardia and complete situs inversus

Sotiris C Stamou1, Ammar S Bafi, Emmanouil I Kapetanakis

  • 1Section of Cardiac Surgery, Department of Surgery, Georgetown University Hospital, Washington, D.C., USA.

Journal of Cardiac Surgery
|May 22, 2003
PubMed

Insights

A 65-year-old female with dextrocardia underwent successful off-pump coronary artery bypass surgery. This rare procedure, performed on a beating heart, highlights advancements in treating complex cardiac conditions.

Area of Science:

  • Cardiovascular Surgery
  • Congenital Heart Disease

Background:

  • Dextrocardia and situs inversus are rare congenital conditions.
  • Myocardial revascularization in these patients presents unique surgical challenges.

Observation:

  • A 65-year-old female patient with dextrocardia and situs inversus was evaluated for coronary artery disease.
  • The patient had undergone a previous coronary artery bypass surgery.

Findings:

  • Successful off-pump coronary artery bypass (OPCAB) was performed using a median sternotomy.
  • The right internal mammary artery was used for revascularization of the left anterior descending artery.
  • A saphenous vein graft revascularized the first obtuse marginal branch on a beating heart.

Implications:

  • This case demonstrates the feasibility and safety of OPCAB in patients with dextrocardia.
  • Advancements in surgical techniques and stabilization devices enable complex cardiac procedures in rare anatomies.
  • Successful OPCAB can lead to improved patient outcomes and reduced recovery times for complex cardiac conditions.

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