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World J Cardiol. Apr 26, 2010; 2(4): 104-106
Published online Apr 26, 2010. doi: 10.4330/wjc.v2.i4.104
Published online Apr 26, 2010. doi: 10.4330/wjc.v2.i4.104
Percutaneous coronary intervention for acute myocardial infarction in a patient with dextrocardia
Rajesh Vijayvergiya, Anil Grover, Department of Cardiology, Post Graduate Institute of Medical Education & Research, Chandigarh 160 012, India
Author contributions: All authors performed the intervention.
Correspondence to: Dr. Rajesh Vijayvergiya, MD, FSCAI, Assistant Professor, Department of Cardiology, Post Graduate Institute of Medical Education & Research, Chandigarh 160 012, India. rajeshvijay999@hotmail.com
Telephone: +91-172-2756512 Fax: +91-172-2744401
Received: March 9, 2010
Revised: March 27, 2010
Accepted: April 9, 2010
Published online: April 26, 2010
Revised: March 27, 2010
Accepted: April 9, 2010
Published online: April 26, 2010
Abstract
Situs inversus with dextrocardia is a rare congenital anomaly. There are limited published case reports of successful percutaneous coronary intervention (PCI) in these patients who have atherosclerotic coronary artery disease, especially when presenting with acute myocardial infarction. PCI is technically difficult because of mirror image dextrocardia. We hereby describe a 48-yr-old female, who had acute inferior wall myocardial infarction and underwent successful emergency primary coronary angioplasty and stenting of a proximally occluded right coronary artery. Technical details about PCI are discussed.
Keywords: Dextrocardia, Acute myocardial infarction, Percutaneous coronary intervention, Primary angioplasty