Document Detail

Emergency off-pump complete arterial revascularization in a patient with dextrocardia.
MedLine Citation:
PMID:  19908120     Owner:  NLM     Status:  MEDLINE    
We describe complete emergency arterial coronary artery bypass grafting performed on the beating heart of a 73-year-old man with situs inversus totalis and triple-vessel disease. The right internal mammary artery was anastomosed to the left anterior descending artery in situ. The first and second obtuse marginal branches of the circumflex coronary and the posterior descending branch of the right coronary artery were sequentially revascularized using the left internal mammary and radial arteries in situ. The only abnormality was that the position of the heart mirrored that of a normal heart. Beating heart surgery appears to be as safe in patients with dextrocardia as in the general population. However, the position of the surgeon must be reconsidered for optimal handling of stabilizers and to facilitate access to anastomosis sites. Understanding mirror-image coronary arterial anatomy is important for successful surgical outcomes among patients with dextrocardia.
Satoshi Yamashiro; Kiyoshi Iha; Mitsuru Akasaki; Toru Uezu; Ryo Ikemura; Isao Nishijima
Publication Detail:
Type:  Case Reports; Journal Article     Date:  2009-11-12
Journal Detail:
Title:  General thoracic and cardiovascular surgery     Volume:  57     ISSN:  1863-6713     ISO Abbreviation:  -     Publication Date:  2009 Nov 
Date Detail:
Created Date:  2009-11-12     Completed Date:  2010-01-14     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101303952     Medline TA:  Gen Thorac Cardiovasc Surg     Country:  Japan    
Other Details:
Languages:  eng     Pagination:  625-8     Citation Subset:  IM    
Department of Cardiovascular Surgery, Chubu Tokushukai Hospital, Okinawa, Japan.
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MeSH Terms
Clinical Competence
Coronary Angiography
Coronary Artery Bypass, Off-Pump*
Coronary Stenosis / complications,  radiography,  surgery*
Dextrocardia / complications*,  radiography
Emergency Treatment
Motor Skills
Treatment Outcome

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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