title: Off-Pump Triple Coronary Artery Bypass Grafting in a Patient with Situs Inversus Totalis: Case Presentation and a Brief Review of the Brazilian and the International Experiences.
abstract: A 76-year-old man with situs inversus totalis underwent a successful off-pump three-vessel coronary artery bypass surgery. The postoperative course was uneventful, and the patient was discharged 8 days later. At 9-month follow-up a coronary computed tomography angiography confirmed the viability of all of the grafts, and one year after the operation the patient remained asymptomatic. It comprises the fifth Brazilian case of a coronary surgery in a patient with situs inversus totalis and the first one of the country of a coronary artery bypass surgery without the use of the cardiopulmonary bypass in this condition.
authors.affiliation: Department of Cardiac Surgery, Hospital Regional João de Freitas, Arapongas, PR, Brazil.
authors.forename: Carlos Junior Toshiyuki
authors.initials: CJ
authors.lastname: Karigyo
authors.affiliation: Department of Internal Medicine at Boston, University Medical Center, Boston, United States.
authors.forename: Felipe
authors.initials: F
authors.lastname: Batalini
authors.affiliation: Department of Cardiac Surgery, Hospital Regional João de Freitas, Arapongas, PR, Brazil.
authors.forename: Alexandre Noboru
authors.initials: AN
authors.lastname: Murakami
authors.affiliation: Department of Cardiac Surgery, Hospital Regional João de Freitas, Arapongas, PR, Brazil.
authors.forename: Rogério Toshio
authors.initials: RT
authors.lastname: Teruya
authors.affiliation: School of Medicine, University of Londrina, Londrina, PR, Brazil.
authors.forename: Francisco
authors.initials: F
authors.lastname: Gregori Júnior
mesh_terms: D000368:Aged; D000714:Anastomosis, Surgical / Q000379:methods; D001938:Brazil; D047549:Coronary Artery Bypass, Off-Pump / Q000379:methods*; D003914:Dextrocardia / Q000601:surgery*; D006801:Humans; D008297:Male; D012857:Situs Inversus / Q000601:surgery*