CORONARY ARTERY BYPASS IN DEXTROCARDIA
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2017, Vol 6, Issue 58
Abstract
PRESENTATION OF CASE A 64 years old woman with known situs inversus and dextrocardia presented with complaints of right-sided chest discomfort on exertion since 2 months and history of acute coronary syndrome 1 month back. She was having class 3 symptom for past 10 days. She was a known case of type 2 diabetes mellitus and hypertension for past 15 years. There was no family history of coronary artery disease. Her physical examination was normal except for dextrocardia. Echocardiography showed situs inversus with dextrocardia with moderate left ventricular systolic and diastolic dysfunction. All the valves were essentially normal with regional wall motion abnormality (RWMA) in anteroseptal and apical region. Coronary angiography revealed left main coronary artery disease. Left anterior descending artery (LAD) showed significant osteoproximal obstruction with diffuse distal disease; circumflex showed significant proximal and obtuse marginal (OM1) disease. Right coronary artery (RCA) was normal. She underwent on-pump coronary artery bypass surgery. Intraoperatively, obtuse marginal branch was seen to be very small and not graftable. Right internal mammary artery (RIMA) was harvested and all anastomoses were done with surgeon standing on left side of the patient. RIMA was grafted to left anterior descending artery (LAD). Saphenous vein graft was used to bypass the diagonal artery. There were no postoperative complications and ionotropic requirements. She was extubated after 6 hours and transferred to ward on next day. She was discharged after six days.
Authors and Affiliations
Lokesh Shekher Jaiswal, Milind Padmakar Hote
Keywords
Related Articles
- EP ID EP226218
- DOI 10.14260/Jemds/2017/937
- Views 109
- Downloads 0
CONTRAST ENHANCED ULTRASOUND IN CORRELATION WITH HIGH RESOLUTION ADVANCED ULTRASOUND IN THYROID INCIDENTALOMA
BACKGROUND Solitary thyroid nodule in contrary to multiple lesions is uncommon. If sonologically detectable, irrespective of sex, age group above 45 years and in non-endemic areas the malignancy rates are high. CEUS is w...
OUTCOME OF TERM BREECH PRESENTATION IN A PERIPHERAL TERTIARY CARE CENTRE OF WEST BENGAL, INDIA
BACKGROUND Choosing the mode of delivery in case of term breech pregnancy is controversial. The aim of this study is to find out the mode of delivery in term breech presentation and to describe the foetomaternal outcomes...
EVALUATION OF SEROUS EFFUSIONS USING AgNOR COUNT- A STUDY IN A TERTIARY CARE CENTRE OF SAHARANPUR
BACKGROUND Abnormalities of nucleolar morphology are constant features of cancer cells. The importance of the nucleolus for the diagnosis of malignancy has been reconsidered after the observation that structural and morp...
EFFECT OF CURRENT NEONATAL TRANSPORT SERVICES ON SHORT TERM OUTCOME OF OUTBORN NEONATES
BACKGROUND Neonatal transport is the most important component of regionalized perinatal health care system, but still there are no legal regulations on regionalized perinatal care and transport of sick new-borns in our c...
VITAMIN D3 LEVELS IN TWO DIFFERENT ETHNIC POPULATIONS- A BIRD’S EYE VIEW ON SOCIOCULTURAL INFLUENCES
BACKGROUND The prevalence of Vitamin D deficiency has steadily risen in last few years. Environmental factors like temperate climate, indoor lifestyle, diet prejudice as well as human behavioural patterns among ethnic gr...