Minimally-invasive coronary surgery in dextrocardia and situs inversus totalis

Gianpaolo Romano, Gustavo Guida, Estefania De Garate, Màximo Cosimo Guida
Interactive Cardiovascular and Thoracic Surgery 2010, 11 (6): 820-1
Dextrocardia associated to situs inversus totalis is a rare congenital conditions (prevalence of 1:10,000) in which the organs are located in a symmetric or mirror position in the opposite side of the body. These individuals usually have a normal life expectancy and the same propensity to develop ischaemic coronary disease as the general population. We report a case of a 59-year-old female patient with a single-vessel obstructive coronary disease successfully resolved via a right anterior small thoracotomy on a beating-heart using the right internal thoracic artery as a conduit for 'left' anterior descending coronary artery.

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