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Coronary stenting in patients with situs viscerum inversus
G Patti1, A D'Ambrosio, G Di Sciascio
1Cattedra di Cardiologia, Università Campus Biomedico, Roma.
Insights
Adults with situs viscerum inversus can develop coronary artery disease. Successful treatment with coronary angioplasty and stent implantation was achieved despite complex anatomy.
Area of Science:
- Cardiology
- Congenital Heart Disease
- Interventional Cardiology
Background:
- Atherosclerotic coronary disease can affect adults with complex cardiovascular anomalies.
- Unusual cardiac anatomy in these patients poses challenges for coronary revascularization procedures.
Observation:
- Two adult cases of situs viscerum inversus presented with worsening angina.
- Cardiac catheterization and angiography were performed to evaluate coronary anatomy.
Findings:
- Severe coronary artery disease was diagnosed in both patients.
- Successful coronary angioplasty and stent implantation were performed, addressing the complex anatomy.
Implications:
- Percutaneous coronary intervention is feasible in situs viscerum inversus patients with coronary artery disease.
- Careful pre-procedural planning is crucial for managing complex cardiac anomalies during interventions.
Abstract:
Atherosclerotic coronary disease may develop even in patients with complex cardiovascular anomalies who reach adult life. Coronary revascularization (surgical or interventional) may present potential difficulties related to the unusual anatomy. We describe two cases of situs viscerum inversus who underwent cardiac catheterization and angiography as adults because of ingravescent angina. The study identified the cardiac relations and connections, and diagnosed severe coronary disease that was successfully treated with coronary angioplasty and stent implantation. The implications of performing such procedures in patients with similar cardiac anomalies are discussed.