Tehran University of Medical Sciences The Research in Heart Yield and Translational Medicine (RHYTHM) 3115-7270 6 3 2011 09 15 155 157 Ali Dabbagh Shahid Beheshti University of Medicine, Tehran, Iran. Ali Asghar Bolourian Shahid Beheshti University of Medicine, Tehran, Iran. 2015 10 03 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 to a significant left main coronary artery stenosis associated with dextrocardia. Two years later, multi-slice CT angiography revealed patent grafts, demonstrating good clinical results. https://rhythm.tums.ac.ir/index.php/jthc/article/view/218 https://rhythm.tums.ac.ir/index.php/jthc/article/download/218/216