1/17. Multiple coronary artery bypass grafting in dextrocardia: case report.This is a case report of an unusual case of a patient with dextrocardia and "situs inversus totalis" who presented with unstable angina. coronary angiography revealed severe main stem and severe triple vessel coronary artery disease. The patient later underwent successful emergency coronary artery bypass graft surgery. To the authors' knowledge this is the first reported case in malaysia and also, the first ever report in the literature of multiple vessel coronary artery grafting, including the use of the right internal mammary artery.- - - - - - - - - - ranking = 1keywords = vessel (Clic here for more details about this article) |
2/17. Discordance between abdominal and atrial arrangement in a case of complex congenital heart disease.The report describes a rare case of a complex congenital heart disease wherein the splenic status and the relationship of the suprarenal abdominal great vessels strongly suggested right isomerism, but atrial morphology demonstrated usual atrial arrangement. It emphasises the increasing recognition that the arrangement of the abdominal organs need not accurately reflect atrial arrangement.- - - - - - - - - - ranking = 0.5keywords = vessel (Clic here for more details about this article) |
3/17. situs inversus and acute coronary syndrome.dextrocardia is a rare clinical phenomenon with a reported incidence of one in 10 000. Consequently, acute coronary syndromes in such patients are rare. When chest pain occurs in this setting, it is important to be aware of the unique problems that may occur if coronary intervention is contemplated. Previous case reports have shown successful attempts at reperfusing one coronary artery percutaneously. In this case, coronary stents were successfully deployed in two vessels of a man with situs inversus, which has not been reported before. Additionally, the angiographic results that followed from successful intervention did not produce the expected haemodynamic and electrocardiographic changes.- - - - - - - - - - ranking = 0.5keywords = vessel (Clic here for more details about this article) |
4/17. Biventricular implantable cardiac defibrillator in dextrocardia with situs viscerum inversus.A case of dextrocardia in situs viscerum inversus, prior myocardial infarction, dilated cardiomyopathy with severe left ventricular systolic dysfunction, ventricular tachyarrhythmias and recurrent episodes of heart failure is described. coronary artery bypass grafting for multivessel coronary artery disease had been previously performed; coronary and graft anatomy evaluation excluded the possibility of any further revascularization procedure. electrocardiography showed left bundle branch block and echocardiography revealed significant interventricular mechanical dyssynchrony. After a complete vascular and cardiac anatomy evaluation, the patient was submitted to biventricular cardiac defibrillator implantation via a right approach and using conventional fluoroscopic equipment.- - - - - - - - - - ranking = 0.5keywords = vessel (Clic here for more details about this article) |
5/17. dextrocardia and two-vessel percutaneous intervention.dextrocardia is rare and percutaneous intervention in such patients presents additional challenges to the operator. This report describes successful two-vessel angioplasty and stenting, including a chronic, sub-totally occluded proximal left anterior descending artery.- - - - - - - - - - ranking = 2.5keywords = vessel (Clic here for more details about this article) |
6/17. coronary artery disease and obstructive aortic disease in situs inversus.A case of ischemic heart disease (IHD) in a patient with complex dextrocardia is presented. Management of such a patient poses special problem, and a difference in the technique of performing coronary angiography is required. With the right sided aortic arch, Judkins catheters rotated in the direction opposite to normal, result in successful coronary artery engagement. The occurrence of obstructive aortic (atypical coarctation) and large vessel disease was noted in the same patient.- - - - - - - - - - ranking = 0.5keywords = vessel (Clic here for more details about this article) |
7/17. Coronary arterial revascularization in an adult with congenitally corrected transposition of great arteries and dextrocardia.OBJECTIVES: Congenitally corrected transposition of great arteries with dextrocardia is an extremely rare lesion in adulthood. This group of patients does not live long enough for atherosclerotic coronary artery disease processes, because of existing comorbid anomalies. methods: We report a 47-year-old man with isolated congenitally corrected transposition of great arteries, dextrocardia, and athersclerotic coronary artery disease. The patient underwent coronary artery revascularization with cardiopulmonary bypass. The free left internal mammary artery (LIMA) was grafted to the tiny left anterior descending artery (LAD), and the reversed saphenous vein Y graft was anastomosed to the posterior descending and posterolateral branches of the morphologic right coronary artery. RESULTS: The patient recovered uneventfully. He is alive and well 24 months after the surgery. CONCLUSIONS: To our knowledge, the present case is the first congenitally corrected transposition of great arteries with dextrocardia treated with grafted coronary artery bypass. Early and full revascularization is very important for the systemic right ventricle exposed to a systemic workload. The vessel pathologies and technical details of this unusual case are discussed in this paper.- - - - - - - - - - ranking = 0.5keywords = vessel (Clic here for more details about this article) |
8/17. Complete arterial revascularization in coronary artery bypass grafting in a patient with solitus inversus totalis.dextrocardia with complete situs inversus is a rare condition that occurs approximately in 2/10,000 live births. Coronary revascularization management in this setting differs in the technical considerations imposed by the malposition of the heart itself. We report here a case of complete arterial revascularization using both internal thoracic arteries and the left (homologous vessel to the right) gastroepiploic artery in an adult patient with triple-vessel disease and situs inversus totalis. Strategies for the choice of conduits and anastomoses as well as technical details are discussed.- - - - - - - - - - ranking = 1keywords = vessel (Clic here for more details about this article) |
9/17. A case of dextrocardia with normal situs.We report here a case of dextrocardia with normal situs in an 81-year-old man who died from non-pulmonary causes. Removal of the chest wall revealed a large, but otherwise anatomically normal, left lung occupying the entire left hemithorax and extending across the midline to overlap the left border of the heart which was positioned in the right hemithorax. The gross anatomy of the heart was normal save its position and the presence of only 2 pulmonary veins. dissection of the heart showed all chambers in their classically described position, and there were no valvular defects. The anatomy of the great vessels was also normal. The right lung was hypoplastic and lay posterior to the heart. This lung lacked any lobular structure, but the presence of carbon particles throughout it suggested that it was capable of normal inflation.- - - - - - - - - - ranking = 0.5keywords = vessel (Clic here for more details about this article) |
10/17. Deviated trachea in hypoplasia and aplasia of the right lung: airway obstruction and its release by aortopexy.Three cases of male infants with hypoplasia and aplasia of the right lung and dextrocardia are reported. The infants developed increasing obstructive respiratory distress in the first 4 months of life. In all three cases, there was an opaque right hemithorax with overinflation of the left lung, a posterior deviation of the trachea with pulsatile stenosis, and a posteriorly located aortic arch. Hypoplasia (two cases) or aplasia (one case) of the right pulmonary artery and an absence or a remnant of the right main bronchus were also observed. Associated malformations were esophageal atresia with an abnormal high pouch of the proximal esophagus in case 1, and hypertelorismus syndrome in case 2. Because of severe respiratory distress in all three patients, an aortopexy was performed at the ages of 5 months (one infant) and 10 months (two infants). The obstructive respiratory signs disappeared postoperatively in the following weeks. It has been observed that tracheal stenosis in aplasia or hypoplasia of the right lung may be caused by the dislocated aortic arch. An aortopexy can release the airway compression in such cases. Because of associated malformations, a careful evaluation of the airway and vessels is recommended.- - - - - - - - - - ranking = 0.5keywords = vessel (Clic here for more details about this article) |
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