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Right mammary-coronary anastomosis in a patient with situs inversus
H Abensur1, J A Ramires, L A Dallan
1Division of Cardiology, Instituto do Coração da Universidade de São Paulo, Brazil.
Chest
|October 1, 1988
Insights
This case report details myocardial revascularization in a patient with situs inversus totalis and ischemic heart disease. The right internal mammary artery was successfully used to bypass the diseased anterior descending coronary artery.
Area of Science:
- Cardiology
- Cardiovascular Surgery
- Medical Case Reports
Background:
- Situs inversus totalis is a rare congenital condition where major visceral organs are mirrored.
- Ischemic heart disease (IHD) necessitates interventions like coronary artery bypass grafting (CABG).
Observation:
- The patient presented with situs inversus totalis and significant ischemic heart disease.
- Standard surgical approaches for CABG may be complicated by anatomical variations in situs inversus.
Findings:
- Myocardial revascularization was performed using the right internal mammary artery (RIMA).
- Anastomosis of the RIMA to the anterior descending coronary artery (LAD) was successfully achieved, despite the situs inversus.
- This demonstrates the feasibility of using RIMA for LAD revascularization in patients with situs inversus.
Implications:
- This case highlights the adaptability of established surgical techniques in complex congenital anomalies.
- It suggests that RIMA grafting can be a viable option for myocardial revascularization in patients with situs inversus and IHD.
- Further studies may explore outcomes and refine techniques for such unique patient populations.
Abstract:
We report a patient with situs inversus and ischemic heart disease who had myocardial revascularization with anastomosis of the right mammary artery to the anterior descending coronary artery.