Off-Pump Coronary Artery Bypass Grafting in a High-Risk Dextrocardia Patient: A Case Report

Authors

  • Fikri Abdullah
  • Siti Laura Mazalan

DOI:

https://doi.org/10.1532/HSF98.20033016

Abstract

We present an interesting but high-risk case of an obese male patient aged 56 years with dextrocardia and a left diaphragmatic hernia. Anterior myocardial infarction was diagnosed in 1994, and the patient later presented with a history of unstable angina. The diagnosis for this chronic smoker was triple-vessel disease, impaired left ventricular function, chronic renal failure, chronic bronchitis, impaired lung function, pulmonary hypertension, hypertension, diabetes, and chronic active gastritis (EuroSCORE of 10). The patient underwent successful off-pump coronary artery bypass grafting with 3 saphenous vein grafts to the left anterior descending, obtuse marginal, and right posterior descending arteries. He was discharged home 8 days later.

References

Ascione R, Lloyd CT, Underwood MJ, Gomes WJ, Angelini GD. 1999. On-pump versus off-pump revascularization: evaluation of renal function. Ann Thorac Surg 68:493-8.nBittner HB, Savitt MA. 2002. Off-pump coronary artery bypass grafting decreases morbidity and mortality in a selected group of high-risk patients. Ann Thorac Surg 74:115-8.nEuroSCORE. 2004. [EuroSCORE risk stratification Web site]. Accessed February 10, 2004. Available from: http://www.euroscore.org.nRiha M, Danzmayr M, Nagele G, et al. 2002. Off pump coronary artery bypass grafting in EuroSCORE high and low risk patients. Eur J Cardiothorac Surg 21:193-8.nTabry IF, Calabrese J, Zammar H, et al. 2001. Case report: off-pump total myocardial revascularization for dextrocardia and situs inversus. Heart Surg Forum 4:251-3.n

Published

2005-01-04

How to Cite

Abdullah, F., & Mazalan, S. L. (2005). Off-Pump Coronary Artery Bypass Grafting in a High-Risk Dextrocardia Patient: A Case Report. The Heart Surgery Forum, 7(3), E186-E188. https://doi.org/10.1532/HSF98.20033016

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