Left Anterior Descending Coronary Endarterectomy for a Patient with Dextrocardia and Situs Inversus

Sachiko Hayashi	Toshihiro Fukui	Tomoya Uchimuro
Minoru Tabata and Shuichiro Takanashi

（Department of Cardiovascular Surgery, Sakakibara Heart Institute, Fuchu, Tokyo, Japan）

An 80-year-old woman with dextrocardia and situs inversus was admitted with chest pain. She successfully underwent off-pump coronary artery bypass grafting. The free left internal mammary artery（IMA）was anastomosed to the posterior lateral branch and the in-situ right IMA to the left anterior descending artery（LAD). The reconstruction of the LAD was performed with endarterectomy due to a diffusely diseased LAD with severe calcification. Except for the mirror-image anatomy, the surgical technique was similar to that used for patients with situs solitus.　

　

Jpn. J. Cardiovasc. Surg. 43:84-87（2014）

Keywords：situs inversus totalis;dextrocardia;off-pump coronary bypass grafting;endarterectomy