title: Aortic Valve Replacement in Dextrocardia and Anomalous Origin of the Coronary Artery.
abstract: Situs inversus totalis and anomalous origin of the left coronary artery are rare conditions. An 87-year-old woman with both conditions presented to the authors' hospital with symptomatic aortic stenosis. She underwent aortic valve replacement (AVR) and coronary artery bypass grafting (CABG; saphenous vein graft to the left main trunk). The operator mainly stood on the left side of the patient and performed surgery without difficulty. Both, AVR and CABG were successfully performed despite these two rare conditions. Open-heart surgery in a very elderly patient with both of these rare conditions has not previously been reported.
authors.affiliation: Department of Surgery, Kurume University School of Medicine, Kurume, Fukuoka, Japan. Electronic correspondence: kono_takanori@med.kurume-u.ac.jp.
authors.forename: Takanori
authors.initials: T
authors.lastname: Kono
authors.affiliation: Department of Surgery, Kurume University School of Medicine, Kurume, Fukuoka, Japan.
authors.forename: Toru
authors.initials: T
authors.lastname: Takaseya
authors.affiliation: Department of Surgery, Kurume University School of Medicine, Kurume, Fukuoka, Japan.
authors.forename: Takahiro
authors.initials: T
authors.lastname: Shojima
authors.affiliation: Department of Surgery, Kurume University School of Medicine, Kurume, Fukuoka, Japan.
authors.forename: Kazuyoshi
authors.initials: K
authors.lastname: Takagi
authors.affiliation: Department of Surgery, Kurume University School of Medicine, Kurume, Fukuoka, Japan.
authors.forename: Koji
authors.initials: K
authors.lastname: Akasu
authors.affiliation: Department of Surgery, Kurume University School of Medicine, Kurume, Fukuoka, Japan.
authors.forename: Hiroyuki
authors.initials: H
authors.lastname: Tanaka
mesh_terms: D000369:Aged, 80 and over; D001024:Aortic Valve Stenosis / Q000150:complications* / Q000601:surgery*; D001026:Coronary Artery Bypass / Q000379:methods*; D003330:Coronary Vessel Anomalies / Q000150:complications*; D003914:Dextrocardia / Q000150:complications*; D005260:Female; D019918:Heart Valve Prosthesis Implantation / Q000379:methods*; D006801:Humans; D016896:Treatment Outcome