Triple-vessel percutaneous coronary revascularization in situs inversus dextrocardia.

Abstract

Dextrocardia with situs inversus occurs in approximately one in 10,000 individuals of whom 20% have primary ciliary dyskinesia inherited as an autosomal recessive trait. These patients have a high incidence of congenital cardiac disease but their risk of coronary artery disease is similar to that of the general population. We report what is, to our knowledge, the first case of total triple-vessel coronary revascularization by percutaneous stent implantation in a 79-year-old woman with situs inversus dextrocardia. We describe the successful use of standard diagnostic and interventional guide catheters with counter rotation and transversely inversed image acquisition techniques. The case also highlights that the right precordial pain may represent cardiac ischemia in this population.

• Authors: Nikolaos Kakouros, Sundip J Patel, Simon Redwood, Balvinder S Wasan
• Journal: Cardiology research and practice (Cardiol Res Pract) Vol. 2010 Pg. 606327 ( 2010) ISSN: 2090-0597 [Electronic] United States
• PMID: 20631900 (Publication Type: Case Reports)