Japanese Journal of Cardiovascular Surgery Vol43,No2

Left Anterior Descending Coronary Endarterectomy for a Patient with Dextrocardia and Situs Inversus

Sachiko HayashiToshihiro FukuiTomoya Uchimuro
Minoru Tabata and Shuichiro Takanashi

(Department of Cardiovascular Surgery, Sakakibara Heart Institute, Fuchu, Tokyo, Japan)

An 80-year-old woman with dextrocardia and situs inversus was admitted with chest pain. She successfully underwent off-pump coronary artery bypass grafting. The free left internal mammary artery(IMA)was anastomosed to the posterior lateral branch and the in-situ right IMA to the left anterior descending artery(LAD). The reconstruction of the LAD was performed with endarterectomy due to a diffusely diseased LAD with severe calcification. Except for the mirror-image anatomy, the surgical technique was similar to that used for patients with situs solitus. 


Jpn. J. Cardiovasc. Surg. 43:84-87(2014)

Keywords:situs inversus totalis;dextrocardia;off-pump coronary bypass grafting;endarterectomy

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