scholarly journals Off-pump triple coronary artery bypass grafting in a patient with situs inversus totalis: case presentation and a brief review of the national and international experiences

Author(s):  
Carlos Junior Toshiyuki Karigyo ◽  
Felipe Batalini ◽  
Alexandre Noboru Murakami ◽  
Rogério Toshio Teruya ◽  
Francisco Gregori Júnior
2004 ◽  
Vol 52 (10) ◽  
pp. 473-475 ◽  
Author(s):  
Toshiyuki Kuwata ◽  
Tetsuji Kawata ◽  
Takashi Ueda ◽  
Hidehito Sakaguchi ◽  
Shigeo Nagasaka ◽  
...  

2021 ◽  
Vol 7 (1) ◽  
Author(s):  
Chigusa Nakasone ◽  
Masafumi Kanamoto ◽  
Wataru Tatsuishi ◽  
Tomonobu Abe ◽  
Shigeru Saito

Abstract Background Anesthetic management of coronary artery bypass grafting surgery (CABG) in a dextrocardia patient with situs inversus totalis is rarely encountered and seldom reported in the literature. Case presentation A 76-year-old Japanese female patient had been diagnosed with situs inversus totalis and coronary artery disease of 3 vessels, and she subsequently underwent elective CABG. A preoperative examination showed almost normal results. ECG showed right deviation with the normal lead position. In the operating room, ECG leads were applied in reverse. Pulmonary artery catheterization was performed via the left internal jugular vein. A transesophageal echocardiography (TEE) probe was introduced without difficulty. A different angle was needed to acquire the desired views because of her atypical anatomy. Conclusion Careful perioperative evaluation, intraoperative management, and inspection of multiplane angle and probe adjustments in TEE are needed for anatomically abnormal patients.


2021 ◽  
Author(s):  
Atsushi Oi ◽  
Wataru Tatsuishi ◽  
Jun Mohara ◽  
Toshikuni Yamamoto ◽  
Tomonobu Abe

Abstract Background: Coronary artery bypass grafting in situs inversus totalis patients has been seldom reported in the literature. Case presentation: A 76-year-old woman visited our hospital for chest pain and dyspnea that had started about 5 years earlier. Coronary angiography revealed triple-vessel disease, and computed tomography showed situs inversus totalis. Coronary artery bypass grafting was performed. In this case, the main operating surgeon stood on the right side of the patient until cardiopulmonary bypass was established and then switched positions to the left side of the patient for anastomosis.Conclusion: CABG was successfully completed in a patient with situs inversus totalis. The position shift helped improve the safety and ease of the surgery.


2021 ◽  
Vol 5 (3) ◽  
pp. 227-229
Author(s):  
Cristhian Espinoza-Romero ◽  
Renato Maluf-Auge ◽  
Bruno Mahler-Mioto ◽  
Luciana O. Cascaes-Dourado ◽  
Luís R. Palma-Dallan ◽  
...  

Dextrocardia with situs inversus totalis is a rare congenital abnormality. Most coronary artery bypass grafting surgeries in patients with dextrocardia were performed with anastomosis, using the right internal thoracic artery to revascularize the left anterior descending. It should be noted that in the literature there are few reports of coronary artery bypass grafting surgery, in a patient with this abnormality, its anatomical complexity constitutes a challenge in planning the surgical technique and the grafts to be used. We present an unusual case of a patient with situs inversus totalis and coronary artery disease who underwent coronary artery bypass grafting surgery making it a more technically complex procedure for surgeons, in addition to the difficulty in choosing grafts.


2019 ◽  
Vol 20 ◽  
pp. 806-809
Author(s):  
Konstantin Zhigalov ◽  
Danil Ponomarev ◽  
Artem Sozkov ◽  
Bakitbek Kadyraliev ◽  
Jerry Easo ◽  
...  

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