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

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

Situs Inversus Totalis: A Rare Congenital Anomaly and the Presence of COPD Giving a Concept of Dextroposition with Limb Lead Reversal in ECG

“…Unfortunately, there is no registry in Bangladesh. Only few cases were reported 3,4,5,6 . This positional anomaly is important for a physician as -1) to prevent a surgical disaster in diagnosis and/ or surgical intervention following failure to identify the reversed anatomy or an atypical history as cholecystitis causes left upper quadrant pain 2) for the prevention of false-negative reporting by the radiologist resulting from inattention to labelling or false-labelling by a technician 3) to avoid misleading electrocardiographic findings 4) to evaluate all cardiac structure in an organized way as a small proportion have some form of congenital heart disease 5) to identify another disease 'kartagener syndrome' having bronchiectasis, sinusitis and situs invertus.…”