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Triple vessel percutaneous coronary intervention in a patient with situs inversus dextrocardia using a transradial

Anil Potdar1, Ganeshrao Sapkal2, Satyavan Sharma3

  • 1Director, Parisoha Foundation, H.J. Doshi Ghatkopar Hindusabha Hospital, Ghatkopar (West), Mumbai, Maharashtra 400 086, India.

Indian Heart Journal
|October 19, 2016
PubMed

Insights

This case report details a successful multivessel percutaneous coronary intervention in a patient with situs inversus dextrocardia using a transradial approach. It highlights strategies for managing this complex anatomical variation during cardiac procedures.

Area of Science:

  • Interventional Cardiology
  • Cardiovascular Imaging
  • Anatomical Variations

Background:

  • Situs inversus dextrocardia presents unique challenges for cardiovascular interventions due to reversed organ positioning.
  • Standard interventional techniques may require significant adaptation in patients with dextrocardia.

Observation:

  • A rare case of multivessel coronary artery disease in a patient with situs inversus dextrocardia.
  • The procedure involved a complex percutaneous coronary intervention (PCI) requiring careful planning and execution.

Findings:

  • Successful single-sitting, multivessel PCI was achieved using a transradial approach.
  • Specific technical adjustments and imaging guidance were crucial for navigating the atypical anatomy.

Implications:

  • Demonstrates the feasibility of transradial PCI in complex situs inversus dextrocardia cases.
  • Provides insights and practical tips for interventional cardiologists managing similar rare anatomical variations.

Keywords:
DextrocardiaPercutaneous coronary interventionSitus inversusTransradial approach

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