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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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Off-pump myocardial revascularisation in an octogenarian patient with dextrocardia and situs inversus

I C Ennker1, D Pietrowski, J Ennker

  • 1Heart-Institute Lahr, Baden, Germany.

Cardiovascular Journal of South Africa : Official Journal for Southern Africa Cardiac Society [And] South African Society of Cardiac Practitioners
|November 23, 2006
PubMed

Insights

Successful coronary artery bypass grafting was performed on an 82-year-old woman with dextrocardia and situs inversus totalis. This rare condition required an adapted surgical approach for myocardial revascularization.

Area of Science:

  • Cardiology
  • Cardiac Surgery
  • Medical Genetics

Background:

  • Dextrocardia with situs inversus totalis is a rare congenital condition.
  • Myocardial revascularization in these patients presents unique surgical challenges.
  • Limited case reports exist for coronary artery bypass grafting in this population.

Observation:

  • An 82-year-old female patient presented with dextrocardia and situs inversus totalis.
  • The patient underwent successful off-pump coronary artery bypass grafting (OPCABG).
  • Internal mammary arteries were utilized for myocardial revascularization.

Findings:

  • The surgical technique for OPCABG was adapted but fundamentally similar to standard procedures.
  • The operation was successfully completed with no reported intraoperative complications.
  • Surgeon positioning (standing on the patient's left) facilitated the procedure for a right-handed surgeon.

Implications:

  • This case demonstrates the feasibility of OPCABG in patients with dextrocardia and situs inversus totalis.
  • The findings suggest that standard OPCABG principles can be applied with minor modifications.
  • Successful revascularization can improve outcomes for patients with this rare condition.

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