Revascularização do miocárdio em paciente com situs inversus totalis e dextrocardia

Saadi, Eduardo Keller; Dussin, Luis Henrique; Nicolao, Alvaro; Zago, Alcides José

doi:10.1590/s0102-76382007000300012

Cited by 4 publications

(3 citation statements)

References 5 publications

(4 reference statements)

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“…It is a condition transmitted by autosomal recessive genes, which are located on the long arm of chromosome 14, affecting the genetic cascade responsible for left-right differentiation. It is important to note that most individuals can lead normal lives (Saadi et al, 2007). This anatomical disagreement does not make ISD a pathological condition, even though the frequency of congenital heart defects is higher than in patients with situs solitus, at a rate of 3% versus 0.08% (Yilmar et al, 2019).…”

Section: Resultsmentioning

confidence: 99%

Evidences on the clinical and anatomical aspects of situs inversus

Cardoso,

Santos,

Teixeira

et al. 2023

RSD

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Introduction: situs inversus is a rare congenital anomaly characterized by the transposition of the abdominal organs, viscera and vasculature, in relation to the sagittal direction, offering an image called “mirror image”. It is classified as total when associated with dextrocardia, while partial situs inversus affects only one or more organs. Objective: to answer what is the evidence about the clinical and anatomical aspects of situs inversus. Methodology: this is an integrative literature review. The research was carried out through online access to the National Library of Medicine (PubMed MEDLINE), Scientific Electronic Library Online (Scielo), Cochrane Database of Systematic Reviews (CDSR), Google Scholar, Virtual Health Library (BVS) and EBSCO databases. Information Services Results and Discussion: In situs solitus, the right lung has three lobes and an eparterial bronchus (bronchi above the pulmonary artery), while the left lung has two lobes with a hyarterial bronchus (bronchi below the pulmonary artery), the stomach and the spleen are on the left and the greater lobe of the liver is on the right. The morphological left atrium is to the left of the morphological right atrium. With situs inversus, the left lung has three lobes with an eparterial bronchus and the right lung has two lobes with a hyperarterial bronchus, the stomach and spleen are on the right side of the body, the larger lobe of the liver is on the left, and the morphological left atrium is to the right of the morphological right atrium. Final considerations: it is known that this anatomical asymmetry is established during embryonic formation, specifically, in organ rotation. However, it is worth noting that individuals with total situs inversus alone do not have clinical repercussions, with the exception of cases associated with heart disease. Therefore, almost always, its diagnosis is a finding in imaging tests, such as radiographs, CT scans and ultrasounds.

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Section: Resultsmentioning

confidence: 99%

Evidences on the clinical and anatomical aspects of situs inversus

Cardoso,

Santos,

Teixeira

et al. 2023

RSD

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“…Dextrocardia with situs inversus totalis is a rare congenital abnormality characterized by the development of visceral organs on the opposite side of its topography, like a mirror image. Hieronymus Fabricius (1537 - 1619) was an Italian anatomist and surgeon who first described situs inversus in 1606 [ 1 , 4 ] . The combination of a rare condition such as dextrocardia and situs inversus totalis with a cardiac disease has been reported sporadically in medical literature, generally related to congenital anomalies, and recent reports regarding to atherosclerotic CAD has emerged.…”

Section: Discussionmentioning

confidence: 99%

“…Pego-Fernandes et al [ 3 ] reported a case in which they performed an on-pump quintuple coronary artery bypass grafting and Saadi et al. [ 4 ] reported another case in which they performed a triple on-pump coronary bypass grafting. In these three operations, the only change in the surgical setup was the surgeon standing in the left side of the patient, not altering the rest of the scenario.…”

Section: Discussionmentioning

confidence: 99%

Off-pump triple coronary artery bypass grafting in a patient with situs inversus totalis: case presentation and a brief review of the national and international experiences

Karigyo¹,

Batalini²,

Murakami³

et al. 2016

Brazilian Journal of Cardiovascular Surgery

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A 76-year-old man with situs inversus totalis underwent a successful off-pump three-vessel coronary artery bypass surgery. The postoperative course was uneventful, and the patient was discharged 8 days later. At 9-month follow-up a coronary computed tomography angiography confirmed the viability of all of the grafts, and one year after the operation the patient remained asymptomatic. It comprises the fifth Brazilian case of a coronary surgery in a patient with situs inversus totalis and the first one of the country of a coronary artery bypass surgery without the use of the cardiopulmonary bypass in this condition.

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Coronary artery bypass surgery in a patient with Kartagener syndrome: a case report and literature review

Bougioukas

Mikroulis

Danner

et al. 2010

J Cardiothorac Surg

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Kartagener syndrome consists of congenital bronchiectasis, sinusitis, and total situs inversus in half of the patients. A patient diagnosed with Kartagener syndrome was reffered to our department due to 3-vessel coronary disease. An off-pump coronary artery bypass operation was performed using both internal thoracic arteries and a saphenous vein graft. We performed a literature review for cases with Kartagener syndrome, coronary surgery and dextrocardia. Although a few cases of dextrocardia were found in the literature, no case of Kartagener syndrome was mentioned.

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Revascularização do miocárdio em paciente com situs inversus totalis e dextrocardia

Cited by 4 publications

References 5 publications

Evidences on the clinical and anatomical aspects of situs inversus

Evidences on the clinical and anatomical aspects of situs inversus

Off-pump triple coronary artery bypass grafting in a patient with situs inversus totalis: case presentation and a brief review of the national and international experiences

Coronary artery bypass surgery in a patient with Kartagener syndrome: a case report and literature review

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