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Cox-Maze IV Procedure Concomitant with Valvular Surgery In Situs Inversus Dextrocardia: A Single-Center Experience in China
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Dextrocardia with situs inversus totalis: Cardiovascular surgery in three patients with concomitant coronary artery

Douglas P. Grey1, Denton A. Cooley

  • 1Division of Surgery of the Texas Heart Institute, St. Luke's Episcopal and Texas Children's Hospitals, Houston, Texas.

Cardiovascular Diseases
|December 1, 1981
PubMed

Insights

Patients with situs inversus totalis, a mirror-image dextrocardia condition, and coronary artery disease can undergo successful aortocoronary bypass grafting. This suggests a similar long-term prognosis for these patients compared to those without this condition.

Area of Science:

  • Cardiovascular Surgery
  • Congenital Heart Defects
  • Medical Case Studies

Background:

  • Situs inversus totalis involves dextrocardia, a mirror-image arrangement of visceral organs.
  • Coronary artery disease (CAD) can occur in patients with situs inversus.
  • The surgical outcomes for CAD in this population are not widely documented.

Purpose of the Study:

  • To report the successful surgical outcomes of aortocoronary bypass grafting in patients with situs inversus totalis and CAD.
  • To evaluate the long-term prognosis of these patients post-surgery.

Main Methods:

  • Case series of three patients with situs inversus totalis and CAD.
  • Surgical intervention: aortocoronary bypass grafting.
  • Follow-up assessment of patient outcomes.

Main Results:

  • Aortocoronary bypass grafting was technically successful in all three patients.
  • No immediate complications were reported.
  • Implied positive short-term outcomes.

Conclusions:

  • Surgical correction of coronary artery disease is feasible in patients with situs inversus totalis.
  • These findings suggest that patients with situs inversus totalis and CAD may have a comparable long-term prognosis to patients with situs solitus after bypass grafting.

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