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

Abstract

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.

Colecistite calculosa em situs inversus totalis: abordagem laparoscópica

“…Sua incidência é de 1:10.000 na população mundial 3,4 . Apenas 5-10% dos pacientes com situs inversus têm doenças cardíacas associadas e malformações cardiovasculares, estreando com sintomas atribuíveis a essas patologias, o resto dos pacientes encontram-se assintomáticos.…”