Off-pump coronary artery bypass grafting in a high-risk dextrocardia patient: a case report |
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Authors: | Abdullah Fikri Mazalan Siti Laura |
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Affiliation: | Cardiothoracic Unit, National University Hospital (HUKM), Kuala Lumpur, Malaysia. mfeb66@hotmail.com |
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Abstract: | We present an interesting but high-risk case of an obese male patient aged 56 years with dextrocardia and a left diaphragmatic hernia. Anterior myocardial infarction was diagnosed in 1994, and the patient later presented with a history of unstable angina. The diagnosis for this chronic smoker was triple-vessel disease, impaired left ventricular function, chronic renal failure, chronic bronchitis, impaired lung function, pulmonary hypertension, hypertension, diabetes, and chronic active gastritis (EuroSCORE of 10). The patient underwent successful off-pump coronary artery bypass grafting with 3 saphenous vein grafts to the left anterior descending, obtuse marginal, and right posterior descending arteries. He was discharged home 8 days later. |
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