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Published on: February 11, 2022
Successful transradial percutaneous coronary intervention in a patient with dextrocardia and situs inversus
Ramanand P Sinha1, Deepesh Agarwal1, Arohi Mehul Sarang2
1Consultant Interventional Cardiologist, Department of Cardiology, Mahatma Gandhi Cardiac and Critical Care Center , Jaipur, Rajasthan, India .
Insights
Dextrocardia with situs inversus presents unique challenges for percutaneous coronary intervention. This case report details successful stenting in a patient with this rare condition, highlighting effective techniques.
Area of Science:
- Cardiology
- Interventional Cardiology
- Medical Imaging
Background:
- Dextrocardia with situs inversus is a rare congenital condition affecting approximately 1 in 8,000 to 10,000 individuals.
- Percutaneous coronary intervention (PCI) in these patients is complex due to atypical cardiac anatomy and coronary vessel orientation.
Observation:
- A 48-year-old male patient with dextrocardia and situs inversus presented for cardiac intervention.
- The abnormal anatomical orientation posed significant challenges for standard PCI procedures.
Findings:
- Successful percutaneous coronary intervention with drug-eluting stent deployment was achieved.
- The intervention targeted the right coronary artery and the left circumflex artery.
Implications:
- This case demonstrates the feasibility of performing complex PCI in patients with dextrocardia and situs inversus.
- Careful selection of guiding catheters, engagement techniques, and radiological views are crucial for successful outcomes in these rare cases.
Abstract:
Dextrocardia with situs inversus is a rare clinical entity with an estimated incidence ranges from 1 in 8000 to 1 in10,000. Percutaneous intervention in patient with dextrocardia and situs inversus is clinically challenging due to abnormal orientation of coronary geometry and the intervention requires appropriate use of guiding catheters, engagement technique, appropriate radiological angles as well as views. In this case-report, we describe percutaneous intervention with stenting in 48-year-old male patient with dextrocardia and situs inversus. We successfully deployed drug-eluting stents in right coronary artery and left circumflex artery.
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