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Published on: February 11, 2022
Coronary Artery Bypass Grafting in a Patient With Multivessel Disease and Dextrocardia With Situs Inversus Totalis
Rohit Shahani1,2,3, Adham Ahmed1,4, Frank M Rosell1,2,3
1Northwell Health, New Hyde Park, New York.
Insights
Dextrocardia with situs inversus totalis presents unique challenges for treating coronary artery disease. This case highlights successful management strategies for a high-risk patient with this rare condition.
Area of Science:
- Cardiology
- Medical Genetics
- Congenital Heart Disease
Background:
- Dextrocardia with situs inversus totalis is a rare congenital condition with reversed organ orientation.
- While not increasing coronary artery disease (CAD) risk, it complicates patient management.
- Multivessel coronary artery disease requires careful consideration in these patients.
Observation:
- A 56-year-old male patient with dextrocardia and situs inversus totalis presented with multivessel CAD.
- The patient was considered high-risk for cardiac procedures.
- Management required meticulous planning by the heart team.
Findings:
- Successful management of multivessel coronary artery disease was achieved in a high-risk patient with dextrocardia.
- The case demonstrates the feasibility of complex cardiac interventions in situs inversus totalis.
- Effective collaboration among the heart team was crucial for optimal outcomes.
Implications:
- This case provides valuable insights into managing complex cardiac conditions in patients with dextrocardia.
- It underscores the importance of tailored approaches for surgical and interventional cardiology in rare anatomical variations.
- Further research into standardized protocols for managing CAD in dextrocardia patients is warranted.
Abstract:
Dextrocardia with situs inversus totalis is a rare hereditary condition characterized by reversed orientation of the major thoracic and abdominal organs. Though dextrocardia itself is not believed to increase the risk of coronary artery disease, the workup and surgical management of patients with this condition may be technically challenging to heart team clinicians. This report describes the case management of a high-risk 56-year-old man with dextrocardia who presented with multivessel coronary artery disease.
