Saadi Eduardo Keller, Dussin Luis Henrique, Nicolao Alvaro, Zago Alcides José
Hospital de Clínicas de Porto Alegre, Porto Alegre, RS, Brazil.
Rev Bras Cir Cardiovasc. 2007 Jul-Sep;22(3):346-8. doi: 10.1590/s0102-76382007000300012.
Situs inversus totalis is a rare congenital anomaly. We report a case of a 78-year-old woman with this condition and ischemic coronary artery disease who underwent myocardial revascularization. The cardiac catheterism showed severe proximal stenosis with aneurysms in the anterior interventricular branch, diagonal artery, and right coronary artery. The procedure was done with the surgeon positioned in the left hand side of the patient, with the right internal thoracic artery anastomosed to the anterior interventricular branch, and to two more vein grafts. Very few cases have been reported in the world and this is the third case in Brazil, and the first in the world with coronary aneurysms.
完全性内脏反位是一种罕见的先天性异常。我们报告一例78岁患有此病症及缺血性冠状动脉疾病的女性患者，其接受了心肌血运重建术。心导管检查显示前室间支、对角支和右冠状动脉近端严重狭窄并伴有动脉瘤形成。手术时外科医生位于患者左手侧，将右胸廓内动脉与前室间支以及另外两根静脉移植物进行了吻合。全球报道的此类病例极少，这是巴西的第三例，也是世界上首例伴有冠状动脉瘤的病例。
