Coronary Artery Bypass Grafting in a Patient with Dextrocardia with Situs Inversus.
Kaitlin E WoodsJ W Awori HayangaDaniel SloyerRoy E HenricksonLawrence M WeiHeather K HayangaPublished in: Case reports in anesthesiology (2020)
Dextrocardia involves embryologic malformations leading to a right hemithorax heart with rightward apex. Situs inversus encompasses all viscera in mirrored position. A 76-year-old male with dextrocardia with situs inversus presented for coronary artery bypass grafting due to a non-ST elevation myocardial infarction. Management was altered accordingly. Electrocardiography leads and defibrillator pads were reversed. A left internal jugular vein central venous catheter provided direct access to the right atrium. Transesophageal echocardiography confirmation of aortic and venous cannulation required turning the probe right for the right-sided aorta and left for liver visualization, respectively. Proactive surgical and anesthetic management was imperative for the successful and uneventful outcome for this patient.
Keyphrases
- coronary artery bypass grafting
- percutaneous coronary intervention
- st elevation myocardial infarction
- coronary artery disease
- acute coronary syndrome
- pulmonary artery
- ultrasound guided
- case report
- aortic valve
- atrial fibrillation
- left ventricular
- pulmonary hypertension
- left atrial appendage
- computed tomography
- heart failure
- extracorporeal membrane oxygenation
- cardiac resynchronization therapy
- vena cava
- living cells
- inferior vena cava
- pulmonary embolism