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Review
. 2016 Apr;31(2):198-202.
doi: 10.5935/1678-9741.20160021.

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

Carlos Junior Toshiyuki Karigyo  1 , Felipe Batalini  2 , Alexandre Noboru Murakami  1 , Rogério Toshio Teruya  1 , Francisco Gregori Júnior  3
Affiliations
Review

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

Carlos Junior Toshiyuki Karigyo et al. Braz J Cardiovasc Surg. 2016 Apr.

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.

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Figures

Fig. 1
Fig. 1
(A) Preoperative chest roentgenogram showing dextrocardia. (B) Abdominal CT demonstrating situs inversus totalis. (C) Coronary angiography. (D) Intraoperative view after complete revascularization.
Fig. 2
Fig. 2
Postoperative CT angiography indicating (A) RIMA anastomosed to the LAD artery (arrow); (B) Saphenous vein grafted to the PDA (arrow); (C) three dimensional front view and (D) lateral view.
See this image and copyright information in PMC

References

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