Мultiple Coronary Artery Bypass Grafting in a Patient with Dextrocardia and Situs Viscerum Inversus Totalis
МV Zhelikhazheva*, VYu Меrzlyakov, RK Baichurin and АМ Kааbak.
FSBI “A.N. Bakulev National Medical Research Center of cardiovascular surgery”, Мinistry of Health of Russia, Russia
*Corresponding Author: МV Zhelikhazheva, FSBI “A.N. Bakulev National Medical Research Center of cardiovascular surgery”, Мinistry of Health of Russia, Russia.
Received:
June 01, 2022; Published: July 06, 2022
Abstract
Dextrocardia with situs inversus is a rare congenital anomaly in which the heart and the abdominal organs orient themselves in a mirror-image reversal of the normal anatomy. Coronary artery disease incidence is similar to that of the normal population. Performing coronary artery bypass grafting in this subset of the population poses few difficulties. These limitations can be overcome by few technical adjustments by the surgeon and the team which will be discussed in our article. Сoronary 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. The article presents a successful case of multiple coronary artery bypass grafting in a patient with dextrocardia and situs inversus totalis.
Keywords: Dextrocardia; Situs Inversus; Coronary Artery Bypass Grafting
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