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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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Cox-Maze IV Procedure Concomitant with Valvular Surgery In Situs Inversus Dextrocardia: A Single-Center Experience in China

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Partial sternotomy coronary surgery with triple-vessel disease in dextrocardia and situs inversus totalis

Pi Xiong Su1, Song Gu, Yan Liu

  • 1Department of Cardiac Surgery, Beijing Chaoyang Hospital, Capital Medical University, Beijing, China. supixiong2004@yahoo.com.cn

Interactive Cardiovascular and Thoracic Surgery
|April 6, 2013
PubMed

Insights

Dextrocardia with situs inversus totalis is rare. Minimally invasive off-pump coronary artery bypass grafting was successfully performed in a patient with triple-vessel disease, achieving three grafts.

Area of Science:

  • Cardiovascular Surgery
  • Congenital Heart Conditions
  • Minimally Invasive Cardiac Surgery

Background:

  • Dextrocardia with situs inversus totalis is a rare congenital condition.
  • Surgical revascularization for coronary artery disease in these patients is infrequently reported.
  • Previous minimally invasive approaches were limited to single-vessel disease with one graft.

Observation:

  • A 65-year-old female patient presented with triple-vessel obstructive coronary artery disease.
  • The patient had dextrocardia and situs inversus totalis.
  • A minimally invasive surgical approach was considered due to the patient's complex anatomy.

Findings:

  • The patient successfully underwent off-pump coronary artery bypass grafting (OPCABG) via a partial sternotomy.
  • Three coronary artery bypass grafts were successfully constructed.
  • This represents a novel application of minimally invasive cardiac surgery for complex coronary disease in a patient with dextrocardia and situs inversus totalis.

Implications:

  • Minimally invasive OPCABG is a feasible and effective treatment option for patients with dextrocardia and situs inversus totalis presenting with multi-vessel coronary disease.
  • This approach may offer advantages over traditional sternotomy in select patient populations.
  • Further research and case series are warranted to establish the long-term outcomes and expand the application of this technique.

Keywords:
DextrocardiaMinimally invasive surgerySitus inversusTotal myocardial revascularization

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