Coronary artery bypass grafting in a case with dextrocardia and situs inversus

Oğuz Yılmaz,

doi:10.5606/tgkdc.dergisi.2011.027

Oğuz Yılmaz¹, Ergun Demirsoy¹, Gökçe Şirin¹, Nerime Soybir², Bingür Sönmez¹

¹Departments of Cardiovascular Surgery, Memorial Hospital, İstanbul
²Departments of Anaesthesiology and Reanimation, Memorial Hospital, İstanbul

DOI : 10.5606/tgkdc.dergisi.2011.027

Situs inversus totalis is a rare anatomic variant characterized by a complete mirror image of the thoracic and abdominal viscera. There are few reports of myocardial revascularization in such patients. We report herein the case of a 47-year-old male patient with dextrocardia and situs inversus totalis who underwent coronary artery revascularization with cardiopulmonary bypass by the use of the right internal thoracic artery graft to the anterior descending coronary artery, and two saphenous vein grafts to the other two coronary arteries. The mirror image anatomy does not pose an unusual technical challenge in surgical myocardial revascularization.

Keywords : Coronary artery bypass grafting; dextrocardia; internal mammary artery

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