Off-Pump CABG in a Patient with Dextrocardia Totalis: a Case Report

Coronary revascularization in patients with dextrocardia is not a common clinical condition. there are very few cases of off-pump coronary artery bypass. a 64-year-old woman was admitted to a university hospital due to exertional chest pain. her primary diagnosis was coronary artery disease superimposed on dextrocardia, which was first suspected on physical examination, with the patient having right-sided heart sounds on auscultation. it was corroborated by chest x-ray. after diagnostic evaluations, including coronary angiography, she underwent off-pump coronary artery bypass grafting due toa significant left main coronary artery stenosis associated with dextrocardia. two years later, multi-slice ct angiography revealed patent grafts, demonstrating good clinical results.