The use of bilateral internal thoracic arteries to treat coronary artery disease is very less despite of improved long-term survival. In this case report</span><span style="font-family:"">,&...The use of bilateral internal thoracic arteries to treat coronary artery disease is very less despite of improved long-term survival. In this case report</span><span style="font-family:"">,</span><span style="font-family:""> a patient presented with TVD has been managed with anaortic off-pump complete arterial revascularization (OPCABG) by using composite LIMA RIMA Y Sequential 5 grafts to achieve complete arterial revascularization successfully. This type of operative procedure is technically difficult in a resource poor country like Bangladesh. However, this has been done by a group of young cardiac surgeon. During follow up</span><span style="font-family:"">,</span><span style="font-family:""> the patient is in a good condition.展开更多
Background:Dextrocardia with situs inversus is a rare congenital anomaly where the heart and abdominal organs are mirrored.Coronary artery disease(CAD)in these patients occurs at a similar rate as in the general popul...Background:Dextrocardia with situs inversus is a rare congenital anomaly where the heart and abdominal organs are mirrored.Coronary artery disease(CAD)in these patients occurs at a similar rate as in the general population,but surgical management requires modifications due to anatomical differences.Aim:To discuss the technical considerations and execution of off-pump coronary artery bypass grafting(OPCABG)using bilateral internal mammary arteries(BIMA)in a dextrocardia patient.Case Presentation:A 48-year-old male with chest pain for one week was diagnosed with dextrocardia and CAD.ECG showed ischemic changes,and echocardiography revealed mid-basal inferior and inferolateral wall hypokinesia.Coronary angiography demonstrated total LAD occlusion with retrograde RCA filling and significant RCA stenosis.OPCAB was performed via median sternotomy,using BIMA for total arterial revascularization.RIMA was grafted to the LAD,and LIMA to the RCA,ensuring optimal exposure and graft positioning.Conclusion:Surgical intervention in dextrocardia requires tailored techniques.The leftsided operating position enhances exposure,and BIMA use improves longterm outcomes.Meticulous preoperative planning and intraoperative modifications can lead to successful CABG in these complex cases.展开更多
文摘The use of bilateral internal thoracic arteries to treat coronary artery disease is very less despite of improved long-term survival. In this case report</span><span style="font-family:"">,</span><span style="font-family:""> a patient presented with TVD has been managed with anaortic off-pump complete arterial revascularization (OPCABG) by using composite LIMA RIMA Y Sequential 5 grafts to achieve complete arterial revascularization successfully. This type of operative procedure is technically difficult in a resource poor country like Bangladesh. However, this has been done by a group of young cardiac surgeon. During follow up</span><span style="font-family:"">,</span><span style="font-family:""> the patient is in a good condition.
文摘Background:Dextrocardia with situs inversus is a rare congenital anomaly where the heart and abdominal organs are mirrored.Coronary artery disease(CAD)in these patients occurs at a similar rate as in the general population,but surgical management requires modifications due to anatomical differences.Aim:To discuss the technical considerations and execution of off-pump coronary artery bypass grafting(OPCABG)using bilateral internal mammary arteries(BIMA)in a dextrocardia patient.Case Presentation:A 48-year-old male with chest pain for one week was diagnosed with dextrocardia and CAD.ECG showed ischemic changes,and echocardiography revealed mid-basal inferior and inferolateral wall hypokinesia.Coronary angiography demonstrated total LAD occlusion with retrograde RCA filling and significant RCA stenosis.OPCAB was performed via median sternotomy,using BIMA for total arterial revascularization.RIMA was grafted to the LAD,and LIMA to the RCA,ensuring optimal exposure and graft positioning.Conclusion:Surgical intervention in dextrocardia requires tailored techniques.The leftsided operating position enhances exposure,and BIMA use improves longterm outcomes.Meticulous preoperative planning and intraoperative modifications can lead to successful CABG in these complex cases.
