Left Anterior Descending Coronary Endarterectomy for a Patient with Dextrocardia and Situs Inversus
10.4326/jjcvs.43.84
- VernacularTitle:完全内臓逆位を伴った石灰化び慢性冠動脈狭窄に対し内膜剥離を施行した1例
- Author:
Sachiko Hayashi
;
Toshihiro Fukui
;
Tomoya Uchimuro
;
Minoru Tabata
;
Shuichiro Takanashi
- Publication Type:Journal Article
- Keywords:
situs inversus totalis;
dextrocardia;
off-pump coronary bypass grafting;
endarterectomy
- From:Japanese Journal of Cardiovascular Surgery
2014;43(2):84-87
- CountryJapan
- Language:Japanese
-
Abstract:
An 80-year-old woman with dextrocardia and situs inversus was admitted with chest pain. She successfully underwent off-pump coronary artery bypass grafting. The free left internal mammary artery (IMA) was anastomosed to the posterior lateral branch and the in-situ right IMA to the left anterior descending artery (LAD). The reconstruction of the LAD was performed with endarterectomy due to a diffusely diseased LAD with severe calcification. Except for the mirror-image anatomy, the surgical technique was similar to that used for patients with situs solitus.
