Coronary artery bypass grafting in dextrocardia with situs inversus totalis

Area of Science:

• Cardiology
• Congenital Abnormalities
• Surgical Procedures

Background:

• Dextrocardia with situs inversus totalis is a rare congenital condition.
• Visceral organs exhibit left-handed malrotation.
• Coronary artery disease incidence is likely similar to the general population.

Observation:

• A 62-year-old male patient presented with dextrocardia and situs inversus totalis.
• The patient required myocardial revascularization due to coronary artery disease.

Findings:

• Successful myocardial revascularization was performed using the right internal mammary artery and radial artery.
• This demonstrates the feasibility of surgical intervention in patients with dextrocardia and situs inversus totalis.

Implications:

• This case highlights the successful application of standard surgical techniques in a complex congenital anomaly.
• It suggests that patients with dextrocardia and situs inversus totalis can be managed with established cardiovascular surgical approaches.
• Further research may explore long-term outcomes and specific considerations for managing coronary artery disease in this population.