title: Off-pump coronary artery bypass grafting in a high-risk dextrocardia patient: a case report.
abstract: We present an interesting but high-risk case of an obese male patient aged 56 years with dextrocardia and a left diaphragmatic hernia. Anterior myocardial infarction was diagnosed in 1994, and the patient later presented with a history of unstable angina. The diagnosis for this chronic smoker was triple-vessel disease, impaired left ventricular function, chronic renal failure, chronic bronchitis, impaired lung function, pulmonary hypertension, hypertension, diabetes, and chronic active gastritis (EuroSCORE of 10). The patient underwent successful off-pump coronary artery bypass grafting with 3 saphenous vein grafts to the left anterior descending, obtuse marginal, and right posterior descending arteries. He was discharged home 8 days later.
authors.affiliation: Cardiothoracic Unit, National University Hospital (HUKM), Kuala Lumpur, Malaysia. mfeb66@hotmail.com
authors.forename: Fikri
authors.initials: F
authors.lastname: Abdullah
authors.forename: Siti Laura
authors.initials: SL
authors.lastname: Mazalan
mesh_terms: D047549:Coronary Artery Bypass, Off-Pump; D003324:Coronary Artery Disease / Q000150:complications* / Q000601:surgery*; D048909:Diabetes Complications / Q000150:complications*; D006801:Humans; D006973:Hypertension / Q000150:complications*; D008171:Lung Diseases / Q000150:complications*; D008297:Male; D008875:Middle Aged; D009765:Obesity / Q000150:complications*; D012307:Risk Factors