title: Partial sternotomy coronary surgery with triple-vessel disease in dextrocardia and situs inversus totalis.
abstract: Dextrocardia associated with situs inversus totalis is a rare congenital condition. A small number of cases with these conditions have been reported who underwent myocardial revascularization via the on-pump or off-pump techniques. Among them, only 1 patient with dextrocardia and situs inversus totalis was reported to have the procedure performed with minimally invasive coronary surgery via a right anterior small thoracotomy. However, the case was a single-vessel disease and only one graft was achieved. We describe the case of a 65-year old female patient with triple-vessel obstructive coronary diseases who was successfully revascularized with three grafts using a minimally invasive technique. This was achieved via partial sternotomy and employing off-pump coronary artery bypass grafting.
authors.affiliation: Department of Cardiac Surgery, Beijing Chaoyang Hospital, Capital Medical University, Beijing, China. supixiong2004@yahoo.com.cn
authors.forename: Pi Xiong
authors.initials: PX
authors.lastname: Su
authors.forename: Song
authors.initials: S
authors.lastname: Gu
authors.forename: Yan
authors.initials: Y
authors.lastname: Liu
authors.forename: Jie
authors.initials: J
authors.lastname: Gao
mesh_terms: D000368:Aged; D017023:Coronary Angiography; D047549:Coronary Artery Bypass, Off-Pump; D003324:Coronary Artery Disease / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D003914:Dextrocardia / Q000150:complications*; D005260:Female; D006801:Humans; D012857:Situs Inversus / Q000150:complications*; D056346:Sternotomy / Q000379:methods*; D016896:Treatment Outcome
keywords: Dextrocardia; Minimally invasive surgery; Situs inversus; Total myocardial revascularization
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