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      Total myocardial revascularization for situs inversus totalis with dextrocardia: a case report

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          Abstract

          We report our experience of two patients suffering from severe coronary artery disease and situs inversus totalis with dextrocardia. The surgeon, standing on the right side of the patients, performed coronary artery bypass grafting by harvesting the right internal mammary artery in lieu of the left one.

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          Case report: off-pump total myocardial revascularization for dextrocardia and situs inversus.

          Ahmed-Abdalla El-Tantawy, Omar Yaghi, H Zammar … (2000)
          A 42-year-old man with dextrocardia and situs inversus underwent successful off-pump total myocardial revascularization using the technique popularized by Tector [Tector 1994, Tector 1996]. The free left internal mammary artery (LIMA) was anastomosed to the in-situ right internal mammary artery (RIMA) at the level of the right-sided left atrial appendage, then anastomosed sequentially to the first diagonal branch (D1) of the left anterior descending artery (LAD), and to the LAD. The in-situ RIMA was sequentially anastomosed to the first and the second obtuse marginal branches (OM1 and OM2) of the circumflex coronary artery. A saphenous vein was then anastomosed to a diffusely diseased posterior descending branch (PDA) of the right coronary artery (RCA). The patient was asymptomatic and in excellent condition three months after surgery. In economically depressed regions of the world, such as the Gaza Strip, off-pump complete revascularization is an excellent alternative to cardiopulmonary bypass.
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            Situs in versus viscerum: anatomic study

            M Cleveland (1926)
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              Myocardial revascularization for situs inversus totalis and dextrocardia.

              G Campalani, Pramod Bonde (2003)
              Situs inversus totalis with dextrocardia is rare and presentation with coronary artery disease in the ninth decade of life is even rarer. Here we describe a case where a patient underwent coronary stenting and subsequently coronary bypass surgery for the same.
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                Author and article information

                Journal
                Journal ID (nlm-ta): J Med Case Reports
                Title: Journal of Medical Case Reports
                Publisher: BioMed Central (London )
                ISSN (Electronic): 1752-1947
                Publication date Collection: 2007
                Publication date (Electronic): 5 May 2007
                Volume: 1
                Page: 18
                Affiliations
                [1 ]Department of Cardiothoracic Surgery, Tehran Heart Centre, Medical Sciences/University of Tehran, Tehran, Iran
                [2 ]Department of Clinical Research, Tehran Heart Centre, Medical Sciences/University of Tehran, Tehran, Iran
                Article
                Publisher ID: 1752-1947-1-18
                DOI: 10.1186/1752-1947-1-18
                PMC ID: 1884161
                PubMed ID: 17480236
                SO-VID: cd44faa4-8139-4ca4-8ae5-7706a6aed830
                Copyright © Copyright © 2007 Karimi et al; licensee BioMed Central Ltd.
                License:

                This is an Open Access article distributed under the terms of the Creative Commons Attribution License ( http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

                History
                Date received : 2 January 2007
                Date accepted : 5 May 2007
                Categories
                Subject: Case Report

                ScienceOpen disciplines: Medicine
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                ScienceOpen disciplines: Medicine

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