Coronary artery bypass grafting in a patient with situs inversus totalis: a case report

Background: Coronary artery bypass grafting in situs inversus totalis patients has been seldom reported in the literature. Case presentation: A 76-year-old woman visited our hospital for chest pain and dyspnea that had started about 5 years earlier. Coronary angiography revealed triple-vessel disease, and computed tomography showed situs inversus totalis. Coronary artery bypass grafting was performed. In this case, the main operating surgeon stood on the right side of the patient until cardiopulmonary bypass was established and then switched positions to the left side of the patient for anastomosis. Conclusion: CABG was successfully completed in a patient with situs inversus totalis. The position shift helped improve the safety and ease of the surgery.