Cirugía de revascularización miocárdica en un paciente con Situs Inversus Totalis: Reporte de un caso

Cristhian Espinoza-Romero; Renato Maluf-Auge; Bruno Mahler-Mioto; Luciana O. Cascaes-Dourado; Luís R. Palma-Dallan; Luiz A. Machado-Cesar

doi:10.35839/repis.5.3.984

Authors

Cristhian Espinoza-Romero Heart Institute, Specialization in Cardiology, University of São Paulo, Brazil https://orcid.org/0000-0003-0191-7358
Renato Maluf-Auge Heart Institute, Cardiologist, University of São Paulo, Brazil https://orcid.org/0000-0003-4645-3091
Bruno Mahler-Mioto Heart Institute, Departament of Chronic Coronary Artery Disease, São Paulo, Brazil https://orcid.org/0000-0002-4111-1546
Luciana O. Cascaes-Dourado Heart Institute, Departament of Chronic Coronary Artery Disease, São Paulo, Brazil https://orcid.org/0000-0003-3546-4166
Luís R. Palma-Dallan Heart Institute, Departament of Cardiovascular Surgery, São Paulo, Brazil https://orcid.org/0000-0001-8137-5434
Luiz A. Machado-Cesar Heart Institute, Departament of Chronic Coronary Artery Disease, São Paulo, Brazil https://orcid.org/0000-0003-4436-1791

DOI:

https://doi.org/10.35839/repis.5.3.984

Keywords:

dextrocardia, myocardial revascularization, situs inversus, congenital abnormalities, coronary disease

Abstract

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.

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