Coronary Artery Bypass Grafting in Situs Inversus Totalis

(Department of Cardiovascular Surgery, Nagaoka Red Cross Hospital, Nagaoka, Japan)

Kenji Aoki Fumiaki Oguma Masaaki Sugawara
Hiroyuki Hirahara
Cardiovascular surgery in situs inversus totalis (SIT) is unusual. We report a case of coronary artery bypass grafting (CABG) in SIT. A 67-year-old man with unstable angina pectoris was admitted to our hospital. Coronary arteriography demonstrated three-vessel disease in the mirror-image heart. CABG with 4 distal anastomosis was carried out with conventional methods. Careful observation based on complete understanding for preoperative images could minimize operative difficulties caused by mirror-image heart.
@Jpn. J. Cardiovasc. Surg. 34: 152-155 (2005)