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Nihon Kyobu Geka Gakkai Zasshi · Sep 1990
Case Reports[Coronary artery bypass in dextrocardia with situs inversus totalis--a case report].
- T Yamaguchi, S Kikuchi, H Doi, A Watanabe, and M Ebuoka.
- Department of Thoracic and Cardio-vascular Surgery, Kitami Prefectural Hospital, Hokkaido, Japan.
- Nihon Kyobu Geka Gakkai Zasshi. 1990 Sep 1; 38 (9): 1538-42.
AbstractA 71-year-old woman was admitted to our hospital by ambulance, because of right chest pain and hypotension. Chest X-ray and standard 12-lead ECG showed mirror-image dextrocardia with situs inversus totalis. ECG with right-left reversal of all leads showed acute inferior myocardial infarction. The patient underwent coronary bypass surgery due to postinfarction angina, and she is now doing well 2 years following the operation. Mirror-image dextrocardia with situs inversus totalis is very unusual. But the patients are believed to have normal longevity, and presumably have an incidence of atherosclerotic coronary artery disease similar to the general population. To our knowledge, this is the first case of coronary bypass surgery on a patient with mirror-image dextrocardia in Japan.
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