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10.5606/tgkdc.dergisi.2011.027
Coronary artery bypass grafting in a case with dextrocardia and situs inversus
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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