Related Experiment Video

Updated: Jul 11, 2026

Interventional Diagnostic Procedure: A Practical Guide for the Assessment of Coronary Vascular Function
10:28

Interventional Diagnostic Procedure: A Practical Guide for the Assessment of Coronary Vascular Function

Published on: March 15, 2022

FFR guided PCI in a patient with dextrocardia and multivessel coronary artery disease

Michalis Hamilos, Thomas Cuisset, Narbeh Melikian

    International Journal of Cardiology
    |October 5, 2007
    PubMed

    Insights

    Dextrocardia, a rare congenital condition, presents coronary artery disease similarly to the general population. This case highlights using pressure wire measurements to guide percutaneous treatment of significant coronary lesions in such patients.

    Area of Science:

    • Cardiology
    • Congenital Malformations
    • Interventional Cardiology

    Background:

    • Dextrocardia is a rare congenital condition where the heart is on the right side of the chest.
    • Coronary artery disease (CAD) occurs in dextrocardia patients with the same frequency as in the general population.
    • Percutaneous coronary interventions (PCI) have been successfully performed in dextrocardia patients with CAD.

    Discussion:

    • This case report details a patient with dextrocardia and multivessel coronary artery disease.
    • The study emphasizes the utility of pressure wire-derived physiologic measurements in identifying hemodynamically significant coronary lesions.
    • Accurate lesion selection is crucial for successful PCI outcomes in complex cardiac anatomies.

    Key Insights:

    • Physiologic assessment using pressure wires is vital for guiding PCI in dextrocardia patients.
    • Dextrocardia does not preclude effective percutaneous treatment of coronary artery disease.
    • Multivessel coronary artery disease in dextrocardia requires careful lesion selection for intervention.

    Outlook:

    • Further studies are warranted to establish standardized protocols for PCI in dextrocardia patients.
    • Advancements in imaging and pressure wire technology can improve procedural success rates.
    • This approach can potentially be applied to other complex congenital heart conditions with acquired coronary disease.

    More Related Videos

    Cox-Maze IV Procedure Concomitant with Valvular Surgery In Situs Inversus Dextrocardia: A Single-Center Experience in China08:42

    Cox-Maze IV Procedure Concomitant with Valvular Surgery In Situs Inversus Dextrocardia: A Single-Center Experience in China

    Published on: February 11, 2022

    Real-Time Cardiac Mapping with a Noninvasive Imageless Electrocardiographic Imaging System10:17

    Real-Time Cardiac Mapping with a Noninvasive Imageless Electrocardiographic Imaging System

    Published on: April 11, 2025

    Related Concept Videos

    Cardiac Catheterization II: Right Heart Catheterization01:21

    Cardiac Catheterization II: Right Heart Catheterization

    Right Heart Catheterization: An OverviewRight heart catheterization is an invasive diagnostic procedure that measures right-sided cardiac and pulmonary artery pressures, calculates cardiac output, and identifies intracardiac shunts. It provides detailed hemodynamic data essential for diagnosing and managing various cardiovascular conditions, such as pulmonary hypertension.Access SitesCommon access sites for right heart catheterization include the internal jugular vein in the neck region, the...
    Cardiac Catheterization III: Left Heart Catheterization01:24

    Cardiac Catheterization III: Left Heart Catheterization

    Left heart catheterization is an invasive diagnostic procedure used to evaluate the function and structure of the left side of the heart. It is generally performed to diagnose and treat cardiovascular conditions such as valve abnormalities, coronary artery disease, and congenital heart defects.Diagnostic and therapeutic purposesLeft heart catheterization serves various diagnostic and therapeutic purposes, including:Assessing coronary artery bypass grafts.Evaluating coronary artery disease in...
    Coronary Artery Disease V: Interprofessional Care01:27

    Coronary Artery Disease V: Interprofessional Care

    Interprofessional care for coronary artery disease includes pharmacological therapy and revascularization procedures.Pharmacological therapy for Coronary Artery Disease (CAD) aims to manage symptoms, prevent complications, and improve patient outcomes through various classes of medications:Antiplatelet Agents:Aspirin and Clopidogrel: These medications inhibit platelet aggregation, preventing blood clots, which is crucial for avoiding heart attacks and strokes. Doctors often prescribe these...
    Cardiomyopathy II: Dilated Cardiomyopathy01:30

    Cardiomyopathy II: Dilated Cardiomyopathy

    Dilated cardiomyopathy, or DCM, is a progressive myocardial disorder characterized by ventricular chamber dilation and contractile dysfunction.EtiologyVarious factors can cause DCM, including hypertension and heavy alcohol intake, which contribute to the weakening and enlargement of the heart muscle. Viral infections, such as Coxsackievirus B, adenoviruses, and influenza, can lead to DCM by causing inflammation and damage to heart tissue. Certain chemotherapeutic agents, including daunorubicin,...
    Cardiac Catheterization IV: Nursing Management01:26

    Cardiac Catheterization IV: Nursing Management

    Nursing responsibilities before cardiac catheterization include:Assess for allergies and establish baseline health status.Before cardiac catheterization, assess the patient for allergies to contrast dye. Perform a comprehensive baseline assessment, including vital signs, heart and breath sounds, and a neurovascular assessment of the extremities, noting distal pulses, skin color, and temperature. Instruct the patient to fast for 8-12 hours before the procedure. Evaluate baseline laboratory...
    Cardiomyopathy IV: Restrictive Cardiomyopathy01:29

    Cardiomyopathy IV: Restrictive Cardiomyopathy

    Restrictive cardiomyopathy (RCM) is a rare heart muscle disease characterized by impaired ventricular filling due to stiffened ventricular walls, leading to significant diastolic dysfunction.EtiologyRestrictive cardiomyopathy can arise from both inherited and acquired diseases, many of which are systemic. It is categorized into four main types: infiltrative, storage, non-infiltrative, and endomyocardial diseases.Infiltrative diseases, such as amyloidosis, lead to RCM by depositing amyloid...