Successful Percutaneous Coronary Interventionin a Patient with Dextrocardia and Situs Inversus-a case report

Authors

  • Syed Ali Ahsan Department of Cardiology, Univesity Cardiac Center, Bangabandhu Sheikh Mujib Medical University, Shahbag, Dhaka
  • Hafizur Rahman Department of Cardiology, Univesity Cardiac Center, Bangabandhu Sheikh Mujib Medical University, Shahbag, Dhaka
  • Ahmed Shafiqul Hossain Department of Cardiology, Univesity Cardiac Center, Bangabandhu Sheikh Mujib Medical University, Shahbag, Dhaka
  • Md Abu Siddique Department of Cardiology, Univesity Cardiac Center, Bangabandhu Sheikh Mujib Medical University, Shahbag, Dhaka
  • Manzoor Mahmood Department of Cardiology, Univesity Cardiac Center, Bangabandhu Sheikh Mujib Medical University, Shahbag, Dhaka

DOI:

https://doi.org/10.3329/uhj.v8i2.16089

Keywords:

ö Dextrocardia Situs inversus, Percutaneous coronary intervention, Coronary stenting

Abstract

Dextrocardia is a rare congenital anomaly of development characterized by a mirror- image position of the heart. Unlike dextrocardia with situs solitus or ambiguus, the coincidence of congenital heart disease is relatively low among dextrocardic patients with situs inversus. However, patients with dextrocardia may suffer from coronary heart disease as do people with normally positioned hearts. Few cases of coronary angiography and percutaneous coronary intervention in patients with dextrocardia have been reported. This is a case of a 48-year-old male patient with dextrocardia who developed unstable angina and was able to undergo diagnostic catheterization and percutaneous coronary intervention. We successfully performed percutaneous coronary angioplasty followed by coronary stenting to the left circumflex artery (LCX) and described our experience in the selection of the guiding catheters (standard preformed catheters), angiographic image acquisition (mirror image views with subtle modification) and coronary catheter engaging techniques (opposite-direction catheter rotations).

DOI: http://dx.doi.org/10.3329/uhj.v8i2.16089

University Heart Journal Vol. 8, No. 2, July 2012

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Published

2013-08-05

How to Cite

Ahsan, S. A., Rahman, H., Hossain, A. S., Siddique, M. A., & Mahmood, M. (2013). Successful Percutaneous Coronary Interventionin a Patient with Dextrocardia and Situs Inversus-a case report. University Heart Journal, 8(2), 137–139. https://doi.org/10.3329/uhj.v8i2.16089

Issue

Section

Case Reports