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  • Title: [Emergent coronary artery bypass grafting in a patient with mirror-image dextrocardia].
    Author: Nomoto T, Ueda Y, Ogino H, Sugita T, Morioka K, Matsubayashi K.
    Journal: Kyobu Geka; 1997 Aug; 50(9):785-8. PubMed ID: 9259142.
    Abstract:
    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.
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