Abstract：
Dextrocardia associated with situs inversus totalis is a rare congenital anomaly. We herein report a patient with this condition and ischemic coronay artery disease who underwent emergency surgical myocardial revascularization. A 76-year-old man was admitted to our hospital with a diagnosis of unstable angina pectoris. He had incessant ventricular fibrillation attack on the second day of hospitalization. Emergent coronary angiography revealed total obstruction of the anatomically left anterior descending and right coronary arteries, and severe stenosis in the anatomically left circumflex artery. Emergent off-pump coronary artery bypass using saphenous vein grafts was successfully performed. Intraoperatively, the main surgeon continuouly stood on the patient\'s right side except during anastosiso of a vein graft to the left circumflex artery. Postoperative course was almost uneventful aside from transient renal replacement and prolonged ventilation.
摘要：
与全位倒位相关的性心动过速是一种罕见的先天性异常。我们在此报告了患有这种疾病和缺血性冠状动脉疾病的患者，该患者接受了紧急手术心肌血运重建术。一名76岁的男子因诊断为不稳定型心绞痛而入院。在住院的第二天，他不断的心室纤颤发作。紧急冠状动脉造影显示解剖左前降支和右冠状动脉完全阻塞，解剖学上左旋支动脉严重狭窄。成功进行了使用大隐静脉移植物的紧急非体外循环冠状动脉搭桥术。术中,除了在左旋支动脉的静脉移植物吻合期间，主要外科医生一直站在患者的右侧。除了短暂的肾脏置换和长时间的通气外，术后过程几乎平安无事。
