Complete arterial revascularization in coronary artery bypass grafting in a patient with solitus inversus totalis.
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.
Poncelet
A J
AJ
Department of Cardiovascular and Thoracic Surgery, Cliniques Universitaires Saint-Luc, Catholic University of Louvain, Louvain, Belgium. Poncelet@chir.ucl.ac.be
Dion
R
R
Lengele
B
B
Noirhomme
P
P
D001026:Coronary Artery Bypass / Q000379:methods*; D003327:Coronary Disease / Q000150:complications* / Q000601:surgery; D003914:Dextrocardia / Q000150:complications*; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged