Yahya YILDIZ, Nihat CİNE, Fikret TURHAN, Mehmet Salih BİLAL, Numan Ali AYDEMİR

Dekstrokardili situs inversus totaliste tam koroner arteryel bypass greftleme: Olgu sunumu

Situs inversus totalis az rastlanan bir durum olmasına rağmen, bu ters organ yerleşimine sahip kişilerde koroner arteryel rahatsızlıkların görülme oranı genel nüfusla aynıdır. İskemik kalp hastalığı nedeniyle koroner cerrahi uygulanacak bu hastalarda kalbin pozisyonu greft tercihine etki etse de, küçük teknik değişikliklerle yüz güldürücü sonuçlar alınabilmektedir. Sunacağımız olgu, 55 yaşında dekstrokardi ve situs inversuslu bir erkek olup, hastaya sağ internal torasik arter ve radyal arter greftleri kullanılarak başarılı bir üçlü koroner bypass greftleme prosedürü uygulanmıştır.

Full arterial coronary bypass grafting in dextrocardia with situs inversus totalis: A case report

Although situs inversus totalis is a rare condition, incidence of coronary artery disease in patients having this malposition is similar to that of general population. Among those who are referred to coronary surgery as a result of ischemic heart disease, good surgical results are obtained with minor technical alterations whether the heart’s position itself affects the choice of the grafts. We will present a 55-year-old male patient with dextrocardia and situs inversus who underwent a successful triple coronary bypass grafting procedure with right internal thoracic artery and radial artery grafts.

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