دورية أكاديمية
Emergency off-pump complete arterial revascularization in a patient with dextrocardia.
| العنوان: | Emergency off-pump complete arterial revascularization in a patient with dextrocardia. |
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| المؤلفون: | Yamashiro S; Department of Cardiovascular Surgery, Chubu Tokushukai Hospital, Okinawa, Japan. y3104@med.u-ryukyu.ac.jp, Iha K, Akasaki M, Uezu T, Ikemura R, Nishijima I |
| المصدر: | General thoracic and cardiovascular surgery [Gen Thorac Cardiovasc Surg] 2009 Nov; Vol. 57 (11), pp. 625-8. Date of Electronic Publication: 2009 Nov 12. |
| نوع المنشور: | Case Reports; Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Springer Japan Country of Publication: Japan NLM ID: 101303952 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1863-6713 (Electronic) Linking ISSN: 18636705 NLM ISO Abbreviation: Gen Thorac Cardiovasc Surg Subsets: MEDLINE |
| أسماء مطبوعة: | Original Publication: Tokyo : Springer Japan |
| مواضيع طبية MeSH: | Coronary Artery Bypass, Off-Pump*, Coronary Stenosis/*surgery , Dextrocardia/*complications, Aged ; Clinical Competence ; Coronary Angiography ; Coronary Stenosis/complications ; Coronary Stenosis/diagnostic imaging ; Dextrocardia/diagnostic imaging ; Emergency Treatment ; Humans ; Male ; Motor Skills ; Treatment Outcome |
| مستخلص: | We describe complete emergency arterial coronary artery bypass grafting performed on the beating heart of a 73-year-old man with situs inversus totalis and triple-vessel disease. The right internal mammary artery was anastomosed to the left anterior descending artery in situ. The first and second obtuse marginal branches of the circumflex coronary and the posterior descending branch of the right coronary artery were sequentially revascularized using the left internal mammary and radial arteries in situ. The only abnormality was that the position of the heart mirrored that of a normal heart. Beating heart surgery appears to be as safe in patients with dextrocardia as in the general population. However, the position of the surgeon must be reconsidered for optimal handling of stabilizers and to facilitate access to anastomosis sites. Understanding mirror-image coronary arterial anatomy is important for successful surgical outcomes among patients with dextrocardia. |
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| تواريخ الأحداث: | Date Created: 20091113 Date Completed: 20100114 Latest Revision: 20211020 |
| رمز التحديث: | 20240628 |
| DOI: | 10.1007/s11748-009-0446-9 |
| PMID: | 19908120 |
| قاعدة البيانات: | MEDLINE |
Find this article in full text from Springer Verlag. 
Full Text Finder | تدمد: | 1863-6713 |
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| DOI: | 10.1007/s11748-009-0446-9 |