Situs Inversus and Coronary Artery Disease

Abstract

Situs inversus is a rare condition and there are few reports of myocardial revascularization in such patients. A 56-year-old woman with situs inversus totalis and coronary artery disease underwent successful anastomosis of the right internal mammary artery to the anterior descending coronary artery, and a saphenous vein graft to the right coronary artery.

Ischemic mitral regurgitation in a patient with dextrocardia and situs inversus totalis

“…Dextrocardia with SI affects 1:10 000 of population with incidence of coronary artery disease similar to the general population [1]. Previous cases reported isolated CABG in these patients using a variety of techniques [2].…”

Coronary Artery Bypass in Dextrocardia

“…Some have used right IMA to revascularise LAD. 5,6,7 Others have used saphenous vein as graft. 8,9 The long patency of arterial graft is well established, so we used internal mammary artery to bypass LAD.…”

Mitral valve repair in acquired dextrocardia

“…1–6 Published cases have involved either coronary artery bypass grafting or mitral valve replacement. 4–8 Mitral valve replacement in patients with dextrocardia has been approached via sternotomy or thoracotomy. 4–6 The mitral valve has been approached via the interatrial groove or across the interatrial septum.…”