Coronary Artery Bypass Grafting in a Patient with Dextrocardia with Situs Inversus. (14th December 2020)

• Record Type: Journal Article
• Authors: Woods, Kaitlin E.; Awori Hayanga, J. W.; Sloyer, Daniel; Henrickson, Roy E.; Wei, Lawrence M.; Hayanga, Heather K.
• Other Names: Trikha Anjan Academic Editor.
• Is Part Of: Case reports in anesthesiology. Volume 2020(2020)
• Publication Date: 2020-12-14
• Subjects: Anesthesiology -- Periodicals; 617.9605
• DOI: 10.1155/2020/8885881
• Languages: English
• ISSNs: 2090-6382

Abstract

Abstract : 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.