title: Coronary artery bypass grafting in a patient with situs inversus totalis and dextrocardia.
abstract: Situs inversus totalis is a rare congenital anomaly. We report a case of a 78-year-old woman with this condition and ischemic coronary artery disease who underwent myocardial revascularization. The cardiac catheterism showed severe proximal stenosis with aneurysms in the anterior interventricular branch, diagonal artery, and right coronary artery. The procedure was done with the surgeon positioned in the left hand side of the patient, with the right internal thoracic artery anastomosed to the anterior interventricular branch, and to two more vein grafts. Very few cases have been reported in the world and this is the third case in Brazil, and the first in the world with coronary aneurysms.
authors.affiliation: Hospital de Clínicas de Porto Alegre, Porto Alegre, RS, Brazil. esaadi@terra.com.br
authors.forename: Eduardo Keller
authors.initials: EK
authors.lastname: Saadi
authors.forename: Luis Henrique
authors.initials: LH
authors.lastname: Dussin
authors.forename: Alvaro
authors.initials: A
authors.lastname: Nicolao
authors.forename: Alcides José
authors.initials: AJ
authors.lastname: Zago
mesh_terms: D000368:Aged; D006328:Cardiac Catheterization; D003323:Coronary Aneurysm / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D001026:Coronary Artery Bypass / Q000379:methods*; D003914:Dextrocardia / Q000150:complications*; D005112:Extracorporeal Circulation / Q000379:methods; D005260:Female; D006801:Humans; D007387:Internal Mammary-Coronary Artery Anastomosis / Q000379:methods*