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The Journal of Cardiovascular Surgery 2006 August;47(4):477-9

Copyright © 2006 EDIZIONI MINERVA MEDICA

language: English

Complete arterial revascularization in coronary artery bypass grafting in a patient with solitus inversus totalis

Poncelet A. J. 1, Dion R. 2, Lengele B. 1, Noirhomme P. 1

1 Department of Cardiovascular and Thoracic Surgery Cliniques Universitaires Saint-Luc Catholic University of Louvain, Louvain, Belgium 2 Department of Cardiovascular and Thoracic Surgery Academisch Ziekenhuis Leiden, Leiden, The Netherlands


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Dextrocardia with complete situs inversus is a rare condition that occurs approximately in 2/10,000 live births. Coronary revascularization management in this setting differs in the technical considerations imposed by the malposition of the heart itself. We report here a case of complete arterial revascularization using both internal thoracic arteries and the left (homologous vessel to the right) gastroepiploic artery in an adult patient with triple-vessel disease and situs inversus totalis. Strategies for the choice of conduits and anastomoses as well as technical details are discussed.

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