scholarly journals Intrapericardial Diaphragmatic Hernia after Coronary Artery Bypass Grafting Using the Right Gastroepiploic Artery Graft: Report of a Case

2011 ◽  
Vol 17 (6) ◽  
pp. 624-627 ◽  
Author(s):  
Hiroki Takiuchi ◽  
Toshinori Totsugawa ◽  
Takahiko Tamaki ◽  
Masahiko Kuinose ◽  
Hidenori Yoshitaka ◽  
...  
2020 ◽  
Vol 2020 ◽  
pp. 1-4
Author(s):  
Kaitlin E. Woods ◽  
J. W. Awori Hayanga ◽  
Daniel Sloyer ◽  
Roy E. Henrickson ◽  
Lawrence M. Wei ◽  
...  

Dextrocardia involves embryologic malformations leading to a right hemithorax heart with rightward apex. Situs inversus encompasses all viscera in mirrored position. A 76-year-old male with dextrocardia with situs inversus presented for coronary artery bypass grafting due to a non-ST elevation myocardial infarction. Management was altered accordingly. Electrocardiography leads and defibrillator pads were reversed. A left internal jugular vein central venous catheter provided direct access to the right atrium. Transesophageal echocardiography confirmation of aortic and venous cannulation required turning the probe right for the right-sided aorta and left for liver visualization, respectively. Proactive surgical and anesthetic management was imperative for the successful and uneventful outcome for this patient.


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