Dextrocardia with situs inversus totalis: coronary artery bypass grafting

Salila Hashmi, Mariam Anis, Umer Darr
JPMA. the Journal of the Pakistan Medical Association 2012, 62 (1): 69-70
Dextrocardia with situs inversus is a rare congenital abnormality involving a left-handed mal rotation of the visceral organs. The incidence of coronary artery disease is the same as that in the general population. Performing coronary artery bypass surgery on patients with dextrocardia poses a more challenging task. It is recommended that the right internal mammary artery be the first choice of graft for the anterior descending artery for a "situs inversus" situation. We report 2 cases of patients with Dextrocardia who developed coronary artery disease and underwent coronary artery bypass grafting. Also mentioned is the slight difference in our technique.

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