Division of Cardiovascular Surgery, Department of General Surgical Science, Gunma University, 3-39-15 Showa, Maebashi, Gunma, 371-8511, Japan.
J Cardiothorac Surg. 2022 Mar 27;17(1):56. doi: 10.1186/s13019-022-01807-9.
Coronary artery bypass grafting in situs inversus totalis patients has been seldom reported in the literature.
A 76-year-old woman visited our hospital for chest pain and dyspnea that had started about 5 years earlier. Coronary angiography revealed triple-vessel disease, and computed tomography showed situs inversus totalis. Coronary artery bypass grafting was performed. In this case, the main operating surgeon stood on the right side of the patient until cardiopulmonary bypass was established and then switched positions to the left side of the patient for anastomosis.
CABG was successfully completed in a patient with situs inversus totalis. The position shift helped improve the safety and ease of the surgery.
在文献中，全内脏反位患者的冠状动脉旁路移植术很少被报道。
一名 76 岁女性因 5 年前开始出现的胸痛和呼吸困难就诊于我院。冠状动脉造影显示三支血管病变，计算机断层扫描显示全内脏反位。行冠状动脉旁路移植术。在此例中，主要手术医生站在患者右侧，直到建立体外循环，然后切换到患者左侧进行吻合。
全内脏反位患者成功完成 CABG。位置转换有助于提高手术的安全性和简易性。
