title: Minimally-invasive coronary surgery in dextrocardia and situs inversus totalis.
abstract: Dextrocardia associated to situs inversus totalis is a rare congenital conditions (prevalence of 1:10,000) in which the organs are located in a symmetric or mirror position in the opposite side of the body. These individuals usually have a normal life expectancy and the same propensity to develop ischaemic coronary disease as the general population. We report a case of a 59-year-old female patient with a single-vessel obstructive coronary disease successfully resolved via a right anterior small thoracotomy on a beating-heart using the right internal thoracic artery as a conduit for 'left' anterior descending coronary artery.
authors.affiliation: Department of Cardiovascular Surgery and Transplants, V. Monaldi Hospital, Via L. Bianchi, 80131 Naples, Italy. gianpilotto@gmail.com
authors.forename: Gianpaolo
authors.initials: G
authors.lastname: Romano
authors.forename: Gustavo
authors.initials: G
authors.lastname: Guida
authors.forename: Estefania
authors.initials: E
authors.lastname: De Garate
authors.forename: Màximo Cosimo
authors.initials: MC
authors.lastname: Guida
mesh_terms: D017023:Coronary Angiography; D047549:Coronary Artery Bypass, Off-Pump; D023921:Coronary Stenosis / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*; D003914:Dextrocardia / Q000150:complications* / Q000000981:diagnostic imaging; D005260:Female; D006801:Humans; D007387:Internal Mammary-Coronary Artery Anastomosis; D008875:Middle Aged; D019060:Minimally Invasive Surgical Procedures; D012720:Severity of Illness Index; D012857:Situs Inversus / Q000150:complications* / Q000000981:diagnostic imaging; D013908:Thoracotomy; D016896:Treatment Outcome