OFF-PUMP CORONARY ARTERY BYPASS IN PATIENTS WITH DEXTROCARDIA WITH SITUS INVERSUS

Authors

  • Debabrata Biswas Department of Cardiac Surgery, BMBHRC, India
  • Anirvan Karmakar Department of Cardiac Surgery, BMBHRC, India
  • Subhendu Sarkar Department of Cardiac Surgery, BMBHRC, India
  • Ratan Kumar Das Department of Cardiac Surgery, BMBHRC, India
  • Lalit Kapoor Department of Cardiac Surgery, BMBHRC, India
  • Sukanti Mohapatra Department of Cardiac Surgery, BMBHRC, India

Abstract

The incidence of dextrocardia with situs inversus is uncommon with a reported incidence of 1 in 10000 live births. Patients with dextrocardia undergoing Coronary artery bypass surgery are very rare. The rate of coronary heart disease in situs inversus, however, is similar to that of the general population. We report two cases of CABG in our institution involving 2 patients with dextrocardia and situs inversus. Both the patients had excellent recovery. We present the technical difficulties in performing the operation with possible improvisations, which makes it an interesting case report. More importantly, we believe there is few documented case report of CABG in such a patient cured with totally off pump technique using conventional off pump apparatus.

Keywords:

Dextrocardia, OPCAB, Situs Inversus

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References

Cleveland, M. (1926). Situs inversus viscerum, anatomic study. Archives of Surgery,13(3), pp 343- 368.

Erdil, N., Cetin, L., Sener, E., Demirkiliç, U. & Sağ, C. (2002). Situs inversus and coronary artery disease. Asian Cardiovascular and Thoracic Annals, 10(1), pp 53-54.

Hynes, K. M., Gau, G. T. & Titus, J. L. (1973). Coronary heart disease in situs inversus totalis. American Journal of Cardiology, 31(5), pp 666-669.

Irvin, R. G. & Ballenger, J. F. (1982). Coronary artery bypasses surgery in a patient with situs inversus. Chest, 81(3), pp 380-381.

Perloff, J. K., (1987). The clinical recognition of congenital heart disease, 3rd edition, W.B. Saunders. Philadelphia

Tabry, I. F., Calabrese, J., Zammar, H., Abou-Kasem, K.,Akeilan, H., Gharbieh, N., Zinati, H., Noureddine, W., el-Hout, A., Tayah, M., Khalidy, L. & Yaghi, M., (2001), Case report: off-pump total myocardial revascularization for dextrocardia and situs inversus. Heart Surgery Forum, 4(3), pp 251-253.

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Published

18-06-2021

How to Cite

Debabrata Biswas, Anirvan Karmakar, Subhendu Sarkar, Ratan Kumar Das, Lalit Kapoor, & Sukanti Mohapatra. (2021). OFF-PUMP CORONARY ARTERY BYPASS IN PATIENTS WITH DEXTROCARDIA WITH SITUS INVERSUS. Malaysian Journal of Medical Research (MJMR), 1(2), 51-53. Retrieved from https://ejournal.lucp.net/index.php/mjmr/article/view/144

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