Coronary Artery Bypass Grafting in a Patient with Dextrocardia with Situs Inversus

Abstract EN

Dextrocardia involves embryologic malformations leading to a right hemithorax heart with rightward apex.

Situs inversus encompasses all viscera in mirrored position.

A 76-year-old male with dextrocardia with situs inversus presented for coronary artery bypass grafting due to a non-ST elevation myocardial infarction.

Management was altered accordingly.

Electrocardiography leads and defibrillator pads were reversed.

A left internal jugular vein central venous catheter provided direct access to the right atrium.

Transesophageal echocardiography confirmation of aortic and venous cannulation required turning the probe right for the right-sided aorta and left for liver visualization, respectively.

Proactive surgical and anesthetic management was imperative for the successful and uneventful outcome for this patient.