Total Myocardial Revascularization for Situs Inversus Totalis with Dextrocardia: A Case Report
Author Information
Author(s): Karimi Abbasali, Salehi Omran Abbas, Ahmadi Hossein, Yazdanifard Parin
Primary Institution: Tehran Heart Centre, Medical Sciences/University of Tehran, Tehran, Iran
Conclusion
Surgeons can perform total myocardial revascularization in patients with situs inversus totalis and dextrocardia without unusual technical challenges.
Supporting Evidence
- The patients had significant coronary artery disease and situs inversus totalis with dextrocardia.
- The surgeries were performed with the surgeon standing on the right side of the patients.
- Both patients had uneventful postoperative courses and were discharged in good condition.
Takeaway
This study shows that doctors can successfully operate on patients with their hearts on the right side instead of the left, which is very rare.
Methodology
The study involved two patients undergoing coronary artery bypass grafting with the surgeon standing on the right side and using the right internal mammary artery for grafting.
Limitations
The study is based on only two case reports, limiting the generalizability of the findings.
Participant Demographics
Two patients, one female aged 58 and one male aged 46, both with situs inversus totalis and coronary artery disease.
Digital Object Identifier (DOI)
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