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Updated: May 17, 2026

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Published on: February 11, 2022
Off-Pump CABG in a Patient with Dextrocardia Totalis: a Case Report
Ali Dabbagh1, Ali Asghar Bolourian
1Shahid Beheshti University of Medicine, Tehran, Iran.
Abstract:
Coronary revascularization in patients with dextrocardia is not a common clinical condition. There are very few cases of off-pump coronary artery bypass. A 64-year-old woman was admitted to a university hospital due to exertional chest pain. Her primary diagnosis was coronary artery disease superimposed on dextrocardia, which was first suspected on physical examination, with the patient having right-sided heart sounds on auscultation. It was corroborated by chest X-ray. After diagnostic evaluations, including coronary angiography, she underwent off-pump coronary artery bypass grafting due to a significant left main coronary artery stenosis associated with dextrocardia. Two years later, multi-slice CT angiography revealed patent grafts, demonstrating good clinical results.
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