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      Off-pump Coronary Artery Bypass Surgery in a Patient with Dextrocardia and Situs Inversus: Anesthetic, Surgical Consideration and Role of Transesophageal Echocardiography

      case-report

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          Abstract

          Coronary artery bypass surgery (CABG) in dextrocardia with situs inversus patients is reported less in literature. Due to abnormal looping and associated other congenital anomalies, anesthetic implications and surgical difficulties become challenging in these patients. Transesophageal echocardiography examination (TEE) needs multiplane angle adjustments compared to normal heart to obtain the images. Here, we describe a 53-year-old female patient having dextrocardia with situs inversus who underwent CABG and discuss the perioperative management and multiplane adjustments during TEE examination.

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          Laparoscopic Appendectomy in a Female Patient With Situs Inversus: Case Report and Literature Review

          Jonathan Y. Song, Nasir Rana, Carlos A. Rotman (2004)
          Background: Situs inversus is an uncommon condition caused by a single autosomal recessive gene of incomplete penetration. A potential diagnostic dilemma can occur in the young female patient with a history of situs inversus who presents with pelvic pain. Methods: A 32-year-old multiparous patient with a known history of situs inversus presented with complaints of pelvic pain. A medical history and full physical examination were indicative of possible endometriosis. Results: The patient underwent an operative laparoscopy, which revealed stage II pelvic endometriosis based on the American Fertility Society Revised Classification for Endometriosis (R-AFS), with appendicular and periappendicular adhesions involving the cecum. Ablation of endometriosis and an appendectomy were performed. Conclusion: The authors believe the laparoscopic approach to an appendectomy is ideal in a patient with situs inversus and should be performed at the time of laparoscopy performed for another reason.
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            Coronary heart disease in situs inversus totalis.

            Kieran M. Hynes, Gerald T Gau, Jack L. Titus (1973)
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              Coronary artery bypass surgery in a patient with situs inversus.

              Robert G. Irvin, James Ballenger (1982)
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                Author and article information

                Journal
                Journal ID (nlm-ta): Heart Views
                Journal ID (iso-abbrev): Heart Views
                Journal ID (publisher-id): HV
                Title: Heart Views : The Official Journal of the Gulf Heart Association
                Publisher: Medknow Publications & Media Pvt Ltd (India )
                ISSN (Print): 1995-705X
                ISSN (Electronic): 0976-5123
                Publication date (Print): Jul-Sep 2017
                Volume: 18
                Issue: 3
                Pages: 100-103
                Affiliations
                [1]Department of Cardiac Anaesthesiology, Sri Jayadeva Institute of Cardiovascular Sciences and Research, Bengaluru, Karnataka, India
                Author notes
                Address for correspondence: Dr. S. Subash, Department of Cardiac Anaesthesiology, Sri Jayadeva Institute of Cardiovascular Sciences and Research, Jayanagara 9 th Block, Bengaluru - 560 069, Karnataka, India. E-mail: sssubash@ 123456yahoo.com
                Article
                Publisher ID: HV-18-100
                DOI: 10.4103/HEARTVIEWS.HEARTVIEWS_5_17
                PMC ID: 5686927
                PubMed ID: 29184618
                SO-VID: 6fe2938f-acb8-4d2a-b990-f1050a851034
                Copyright © Copyright: © 2017 Heart Views
                License:

                This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 3.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms.

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                Categories
                Subject: Case Report

                ScienceOpen disciplines: Cardiovascular Medicine
                Keywords: coronary artery bypass surgery,dextrocardia,situs inversus,transesophageal echocardiography
                Data availability:
                ScienceOpen disciplines: Cardiovascular Medicine
                Keywords: coronary artery bypass surgery, dextrocardia, situs inversus, transesophageal echocardiography

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