Document Detail

Off-pump coronary artery bypass in a patient with congenital absence of the left pericardium and an extremely left-rotated heart.
MedLine Citation:
PMID:  20150045     Owner:  NLM     Status:  MEDLINE    
Congenital anomalies of the pericardium are extremely rare and often difficult to diagnose. We describe a 66-year-old woman presenting with multivessel coronary artery disease and right heart insufficiency complicated by an extremely left-rotated heart due to a congenital absence of left pericardium. A multidetector row computerized tomographic study was performed to evaluate the torsion of the heart as well as the physical relationship between the left internal thoracic artery and the left coronary system. Off-pump coronary surgery was scheduled. Both the operative and postoperative courses were uneventful and the patient was discharged after 11 days.
Andres Beiras-Fernandez; Sebastian Sadoni; Sebastian Michel; Felix Kur; Ferdinand Vogt; Henning Mau; Bruno Reichart; Calin Vicol
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The heart surgery forum     Volume:  13     ISSN:  1522-6662     ISO Abbreviation:  Heart Surg Forum     Publication Date:  2010 Feb 
Date Detail:
Created Date:  2010-02-12     Completed Date:  2010-05-07     Revised Date:  2011-08-05    
Medline Journal Info:
Nlm Unique ID:  100891112     Medline TA:  Heart Surg Forum     Country:  United States    
Other Details:
Languages:  eng     Pagination:  E63-5     Citation Subset:  IM    
Department of Cardiac Surgery, University Hospital Grosshadern, LM-University, Munich, Germany.
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MeSH Terms
Coronary Artery Bypass, Off-Pump / methods*
Coronary Artery Disease / congenital*,  surgery*
Pericardium / abnormalities*,  surgery*
Treatment Outcome
Ventricular Dysfunction, Right / congenital*,  surgery*

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