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Coronary artery bypass grafting in a patient with situs inversus totalis: a case report
Atsushi Oi1, Wataru Tatsuishi2, Jun Mohara2
1Division of Cardiovascular Surgery, Department of General Surgical Science, Gunma University, 3-39-15 Showa, Maebashi, Gunma, 371-8511, Japan. atsushi.oi319@gmail.com.
Insights
Coronary artery bypass grafting (CABG) in situs inversus totalis patients is rare. This case report details a successful CABG surgery in such a patient, highlighting a surgeon repositioning technique for improved safety.
Area of Science:
- Cardiovascular Surgery
- Congenital Anomalies
Background:
- Situs inversus totalis is a rare congenital condition where major visceral organs are mirrored.
- Coronary artery bypass grafting (CABG) in these patients presents unique surgical challenges.
- Literature reports on CABG for situs inversus totalis are scarce.
Observation:
- A 76-year-old female presented with symptoms of coronary artery disease.
- Coronary angiography confirmed triple-vessel disease.
- Computed tomography revealed situs inversus totalis.
Findings:
- Coronary artery bypass grafting (CABG) was successfully performed.
- The surgical team employed a repositioning strategy, with the main surgeon switching sides post-cardiopulmonary bypass.
- This technique facilitated safe and effective anastomosis.
Implications:
- Successful CABG in situs inversus totalis is achievable with tailored surgical approaches.
- Surgeon repositioning can enhance safety and procedural ease in complex anatomical variations.
- This case contributes valuable insights for managing coronary artery disease in patients with situs inversus totalis.
Background:
Coronary artery bypass grafting in situs inversus totalis patients has been seldom reported in the literature.
Case Presentation:
A 76-year-old woman visited our hospital for chest pain and dyspnea that had started about 5 years earlier. Coronary angiography revealed triple-vessel disease, and computed tomography showed situs inversus totalis. Coronary artery bypass grafting was performed. In this case, the main operating surgeon stood on the right side of the patient until cardiopulmonary bypass was established and then switched positions to the left side of the patient for anastomosis.
Conclusion:
CABG was successfully completed in a patient with situs inversus totalis. The position shift helped improve the safety and ease of the surgery.
