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Off-Pump CABG in a Patient with Dextrocardia Totalis: a Case Report

Ali Dabbagh1, Ali Asghar Bolourian

  • 1Shahid Beheshti University of Medicine, Tehran, Iran.

The Journal of Tehran Heart Center
|October 18, 2012
PubMed

Insights

Coronary artery disease in patients with dextrocardia is rare. This case study details successful off-pump coronary artery bypass grafting for a patient with dextrocardia and significant coronary artery stenosis.

Area of Science:

  • Cardiovascular Surgery
  • Congenital Heart Disease
  • Interventional Cardiology

Background:

  • Dextrocardia, a rare congenital condition where the heart is on the right side of the chest, presents unique challenges in cardiac surgery.
  • Coronary artery disease (CAD) in patients with dextrocardia is infrequently documented, with limited reports on surgical interventions like coronary artery bypass grafting (CABG).

Observation:

  • A 64-year-old female patient presented with exertional chest pain, indicative of significant coronary artery disease.
  • Physical examination revealed right-sided heart sounds, and chest X-ray confirmed dextrocardia.
  • Coronary angiography identified critical left main coronary artery stenosis.

Findings:

  • The patient successfully underwent off-pump coronary artery bypass grafting (OPCABG), a complex procedure in the context of dextrocardia.
  • Two-year follow-up with multi-slice CT angiography demonstrated patent grafts and positive clinical outcomes.

Implications:

  • This case highlights the feasibility and effectiveness of OPCABG in managing complex coronary artery disease in patients with dextrocardia.
  • It underscores the importance of thorough diagnostic evaluation and tailored surgical approaches for this rare patient population.
  • Successful surgical management can lead to favorable long-term clinical results, improving quality of life.

Keywords:
Coronary artery bypassCoronary artery diseaseDextrocardiaoff-pump

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