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Rare heart surgery performed on a Dextrocardia patient

The patient identified as Tirupathi Reddy of Nellore is a rare case of Situs Inversus Totalis with dextrocardia

Nellore: A Coronary Artery Bypass Graft (CABG) was performed on a 47-year-old person whose heart is on the right side of the chest (Dextrocardia) at Medicover Hospital in Nellore successfully.

The patient identified as Tirupathi Reddy of Nellore is a rare case of Situs Inversus Totalis with dextrocardia in which all the right-sided organs are present on the left side and the left-sided organs of the body are present on the right side.

The incidence of dextrocardia with situs inversus in the general population is 1 in 10,000, doctors said, adding that Dextrocardia patients seldom require CABG surgeries.

In fact, only 37 CABG surgeries have been performed in dextrocardia situs inversus patients worldwide and 4 in India so far.

With regard to Thirupathi Reddy, it is the 38th case worldwide and the 5th case in India.

An electrician by profession, Reddy came to Medicover Hospital with chest pain. He had undergone coronary angioplasty eight years ago. Cardiologists in the hospital performed coronary angiography, which revealed a block in the stent along with a block in the previously normal blood vessel.

They opined that he would require CABG surgery (a bypass operation).

The patient underwent off-pump beating heart CABG surgery, which is only the 14th such case worldwide by Dr. Trilok, cardiothoracic surgeon, and his team under the YSR Aarogyasri scheme, free of cost.

The surgery lasted about 6-7 hours. The patient is now being discharged after five days without any complaints, Dr Trilok said.

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