Nomoto T, Ueda Y, Ogino H, Sugita T, Morioka K, Matsubayashi K
Department of Cardiovascular Surgery, Tenri Hospital, Nara, Japan.
Kyobu Geka. 1997 Aug;50(9):785-8.
A 49 year-old-man with known situs inversus totalis was admitted to our hospital with a history of angina pectoris of 4 months duration. Coronary arteriography revealed that the left main trunk had a 90% stenosis. After the arteriography, the patient's hemodynamics was deteriorated, and he required a support of intraaortic balloon pumping. He underwent emergent coronary artery bypass grafting with saphenous veins the following day, and recovered uneventfully. Technical problems in this patient from a surgical viewpoint were discussed. As far as we know, this is the first case of coronary bypass grafting on a patient with mirror-image dextrocardia and a stenosis of the left main trunk.
一名49岁的完全性内脏反位男性因持续4个月的心绞痛病史入住我院。冠状动脉造影显示左主干有90%的狭窄。造影后，患者的血流动力学恶化，需要主动脉内球囊泵支持。次日，他接受了大隐静脉急诊冠状动脉旁路移植术，术后恢复顺利。从手术角度讨论了该患者遇到的技术问题。据我们所知，这是首例为镜像右位心合并左主干狭窄患者进行冠状动脉旁路移植术的病例。
