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Complete arterial revascularization in coronary artery bypass grafting in a patient with solitus inversus totalis.

Abstract
Dextrocardia with complete situs inversus is a rare condition that occurs approximately in 2/10,000 live births. Coronary revascularization management in this setting differs in the technical considerations imposed by the malposition of the heart itself. We report here a case of complete arterial revascularization using both internal thoracic arteries and the left (homologous vessel to the right) gastroepiploic artery in an adult patient with triple-vessel disease and situs inversus totalis. Strategies for the choice of conduits and anastomoses as well as technical details are discussed.
AuthorsA J Poncelet, R Dion, B Lengele, P Noirhomme
JournalThe Journal of cardiovascular surgery (J Cardiovasc Surg (Torino)) Vol. 47 Issue 4 Pg. 477-9 (Aug 2006) ISSN: 0021-9509 [Print] Italy
PMID16953169 (Publication Type: Case Reports, Journal Article)
Topics
  • Coronary Artery Bypass (methods)
  • Coronary Disease (complications, surgery)
  • Dextrocardia (complications)
  • Follow-Up Studies
  • Humans
  • Male
  • Middle Aged

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