title: Myocardial revascularization in a patient with situs inversus totalis.
abstract: We report the case of a patient with dextrocardia and situs inversus totalis associated with obstructive coronariopathy in the anterior and posterior descending arteries, right coronary artery, first diagonal branch and left marginal branch. The patient underwent coronary artery bypass grafting surgery. This surgery has been rarely reported in literature and we found only one similar case in the national medical literature. The myocardial revascularization was carried out with the right mammary artery for the anterior descending artery. The saphenous vein anastomosed the aorta to the right coronary artery, left marginal branch, fist diagonal branch and posterior descending artery. The surgery was performed with extracorporeal circulation.
authors.affiliation: Instituto do Coração, Hospital das Clínicas, FMUSP, São Paulo, SP, Brazil. paulopego@incor.usp.br
authors.forename: Paulo Manuel
authors.initials: PM
authors.lastname: Pego-Fernandes
authors.forename: João Batista
authors.initials: JB
authors.lastname: de Serro-Azul
authors.forename: Fernando
authors.initials: F
authors.lastname: Matheus
authors.forename: Bruno Shoiti
authors.initials: BS
authors.lastname: Maehara
mesh_terms: D003914:Dextrocardia / Q000150:complications / Q000175:diagnosis; D005112:Extracorporeal Circulation; D006333:Heart Failure / Q000209:etiology* / Q000601:surgery; D006801:Humans; D007387:Internal Mammary-Coronary Artery Anastomosis; D008297:Male; D008875:Middle Aged; D012501:Saphenous Vein / Q000601:surgery; D012857:Situs Inversus / Q000150:complications* / Q000175:diagnosis