[Emergent coronary artery bypass grafting in a patient with mirror-image dextrocardia].
A 49 year-old-man with known situs inversus totalis was admitted to our hospital with a history of angina pectoris of 4 months duration. Coronary arteriography revealed that the left main trunk had a 90% stenosis. After the arteriography, the patient's hemodynamics was deteriorated, and he required a support of intraaortic balloon pumping. He underwent emergent coronary artery bypass grafting with saphenous veins the following day, and recovered uneventfully. Technical problems in this patient from a surgical viewpoint were discussed. As far as we know, this is the first case of coronary bypass grafting on a patient with mirror-image dextrocardia and a stenosis of the left main trunk.
Nomoto
T
T
Department of Cardiovascular Surgery, Tenri Hospital, Nara, Japan.
Ueda
Y
Y
Ogino
H
H
Sugita
T
T
Morioka
K
K
Matsubayashi
K
K
D001026:Coronary Artery Bypass; D003327:Coronary Disease / Q000601:surgery*; D003914:Dextrocardia / Q000150:complications*; D004630:Emergencies; D006801:Humans; D008297:Male; D008875:Middle Aged; D012501:Saphenous Vein / Q000637:transplantation