title: [Simultaneous coronary artery bypass grafting and total arch graft replacement with dextrocardia and situs inversus].
abstract: The patient was a 79-year-old male who complained a sudden back pain. He had dextrocardia and situs inversus. An aortogram showed the dilatation of the ascending and aortic arch which reached 5.6 cm in diameter. A coronary angiogram also showed the 75 percent stenosis of segment 3 in the right coronary artery. Coronary artery bypass grafting to the right coronary artery was performed using a saphenous vein graft during cooling stage of the extracorporeal circulation. After that total arch replacement was carried out using a graft with four side branches with an aid of selective cerebral perfusion. He complicated with respiratory failure postoperatively and needed tracheostomy but recovered gradually. A postoperative computed tomogram showed good patency of three side grafts for cerebral perfusion and no abnormality of graft anastomosis.
authors.affiliation: Department of Cardiovascular Surgery, Hokkaido Ohno Hospital, Sapporo, Japan.
authors.forename: A
authors.initials: A
authors.lastname: Sasaki
authors.forename: T
authors.initials: T
authors.lastname: Umami
authors.forename: Y
authors.initials: Y
authors.lastname: Ohkawa
authors.forename: H
authors.initials: H
authors.lastname: Doi
authors.forename: K
authors.initials: K
authors.lastname: Sugiki
authors.forename: T
authors.initials: T
authors.lastname: Ohno
mesh_terms: D000368:Aged; D001013:Aorta, Thoracic / Q000601:surgery*; D017545:Aortic Aneurysm, Thoracic / Q000601:surgery; D001026:Coronary Artery Bypass / Q000379:methods*; D003327:Coronary Disease / Q000601:surgery; D003914:Dextrocardia / Q000150:complications*; D006801:Humans; D008297:Male; D012857:Situs Inversus / Q000150:complications*