Percutaneous coronary intervention for acute coronary syndrome in dextrocardia and situs in versus

Department of Cardiology, Aga Khan University, Hospital, Stadium Road, Karachi.
Journal of the College of Physicians and Surgeons--Pakistan: JCPSP (Impact Factor: 0.35). 01/2008; 17(12):749-50.
Source: PubMed


A 55-year-old male presented with Non-ST Elevated Myocardial Infarction (NSTEMI). He was a known case of dextrocardia. His standard ECG showed finding consistent with dextrocardia. Coronary angiogram was performed after due manipulation and then successful Percutaneous Coronary Intervention (PCI) of right coronary artery was done.

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    ABSTRACT: Dextrocardia with situs inversus is a rare congenital abnormality involving a left-handed mal rotation of the visceral organs. The incidence of coronary artery disease is the same as that in the general population. Performing coronary artery bypass surgery on patients with dextrocardia poses a more challenging task. It is recommended that the right internal mammary artery be the first choice of graft for the anterior descending artery for a "situs inversus" situation. We report 2 cases of patients with Dextrocardia who developed coronary artery disease and underwent coronary artery bypass grafting. Also mentioned is the slight difference in our technique.
    Journal of the Pakistan Medical Association 01/2012; 62(1):69-70. · 0.41 Impact Factor
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    ABSTRACT: The case of a 40-year-old male with dextrocardia who presented with ST Elevated Myocardial Infarction (STEMI) is reported. Coronary angiogram was performed after due manipulation and then successful primary percutaneous coronary intervention (PCI) of Left anterior descending (LAD) coronary artery was done. His 9 months follow up primary PCI in a patient with angiogram revealed patent stent in proximal LAD. There are very few published case reports of this rare congenital anomaly addressing technical details of successful primary PCI with dextrocardia.
    Journal of the Pakistan Medical Association 08/2012; 62(8):847-9. · 0.41 Impact Factor

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