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

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 myoca...

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Main Authors: Kaitlin E. Woods, J. W. Awori Hayanga, Daniel Sloyer, Roy E. Henrickson, Lawrence M. Wei, Heather K. Hayanga
Format: Article
Language:English
Published: Wiley 2020-01-01
Series:Case Reports in Anesthesiology
Online Access:http://dx.doi.org/10.1155/2020/8885881
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author Kaitlin E. Woods
J. W. Awori Hayanga
Daniel Sloyer
Roy E. Henrickson
Lawrence M. Wei
Heather K. Hayanga
author_facet Kaitlin E. Woods
J. W. Awori Hayanga
Daniel Sloyer
Roy E. Henrickson
Lawrence M. Wei
Heather K. Hayanga
author_sort Kaitlin E. Woods
collection DOAJ
description 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.
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institution Kabale University
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publishDate 2020-01-01
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series Case Reports in Anesthesiology
spelling doaj-art-c8efecb045cb4159bc794f1a87ffeb602025-02-03T01:28:08ZengWileyCase Reports in Anesthesiology2090-63822090-63902020-01-01202010.1155/2020/88858818885881Coronary Artery Bypass Grafting in a Patient with Dextrocardia with Situs InversusKaitlin E. Woods0J. W. Awori Hayanga1Daniel Sloyer2Roy E. Henrickson3Lawrence M. Wei4Heather K. Hayanga5Department of Medical Education, West Virginia University, Morgantown, WV, USADepartment of Cardiovascular and Thoracic Surgery, West Virginia University, Morgantown, WV, USADivision of Cardiovascular and Thoracic Anesthesiology, Department of Anesthesiology, West Virginia University, Morgantown, WV, USADivision of Cardiovascular and Thoracic Anesthesiology, Department of Anesthesiology, West Virginia University, Morgantown, WV, USADepartment of Cardiovascular and Thoracic Surgery, West Virginia University, Morgantown, WV, USADivision of Cardiovascular and Thoracic Anesthesiology, Department of Anesthesiology, West Virginia University, Morgantown, WV, USADextrocardia 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.http://dx.doi.org/10.1155/2020/8885881
spellingShingle Kaitlin E. Woods
J. W. Awori Hayanga
Daniel Sloyer
Roy E. Henrickson
Lawrence M. Wei
Heather K. Hayanga
Coronary Artery Bypass Grafting in a Patient with Dextrocardia with Situs Inversus
Case Reports in Anesthesiology
title Coronary Artery Bypass Grafting in a Patient with Dextrocardia with Situs Inversus
title_full Coronary Artery Bypass Grafting in a Patient with Dextrocardia with Situs Inversus
title_fullStr Coronary Artery Bypass Grafting in a Patient with Dextrocardia with Situs Inversus
title_full_unstemmed Coronary Artery Bypass Grafting in a Patient with Dextrocardia with Situs Inversus
title_short Coronary Artery Bypass Grafting in a Patient with Dextrocardia with Situs Inversus
title_sort coronary artery bypass grafting in a patient with dextrocardia with situs inversus
url http://dx.doi.org/10.1155/2020/8885881
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