Karigyo Carlos Junior Toshiyuki, Batalini Felipe, Murakami Alexandre Noboru, Teruya Rogério Toshio, Gregori Júnior Francisco
Department of Cardiac Surgery, Hospital Regional João de Freitas, Arapongas, PR, Brazil.
Department of Internal Medicine at Boston, University Medical Center, Boston, United States.
Braz J Cardiovasc Surg. 2016 Apr;31(2):198-202. doi: 10.5935/1678-9741.20160021.
A 76-year-old man with situs inversus totalis underwent a successful off-pump three-vessel coronary artery bypass surgery. The postoperative course was uneventful, and the patient was discharged 8 days later. At 9-month follow-up a coronary computed tomography angiography confirmed the viability of all of the grafts, and one year after the operation the patient remained asymptomatic. It comprises the fifth Brazilian case of a coronary surgery in a patient with situs inversus totalis and the first one of the country of a coronary artery bypass surgery without the use of the cardiopulmonary bypass in this condition.
一名76岁的完全性内脏反位男性患者成功接受了非体外循环下三血管冠状动脉搭桥手术。术后恢复顺利，患者于8天后出院。9个月随访时，冠状动脉计算机断层扫描血管造影证实所有移植物均存活，术后一年患者仍无症状。这是巴西第五例完全性内脏反位患者接受冠状动脉手术的病例，也是该国首例在此情况下不使用体外循环进行冠状动脉搭桥手术的病例。
