Related Experiment Video
Updated: Dec 10, 2025

Cox-Maze IV Procedure Concomitant with Valvular Surgery In Situs Inversus Dextrocardia: A Single-Center Experience in China
Published on: February 11, 2022
Takotsubo Cardiomyopathy in Dextrocardia with Situs Inversus
1Department of Cardiology, Barwon Health, Bellerine Street, Geelong, VIC 3220, Australia.
Insights
This case report details a 93-year-old female with dextrocardia who experienced takotsubo cardiomyopathy (TTC). It highlights the diagnostic and procedural challenges of managing this rare combination of conditions.
Area of Science:
- Cardiology
- Embryology
Background:
- Takotsubo cardiomyopathy (TTC) is a reversible left ventricular dysfunction often triggered by stress.
- Dextrocardia with situs inversus is a rare congenital anomaly where the heart is on the right side.
Abstract:
Takotsubo cardiomyopathy (TTC) is an acute reversible form of left ventricular (LV) systolic dysfunction extending beyond a coronary artery vascular territory usually due to physical or psychological stressors. Dextrocardia with situs inversus is a rare embryologic anomaly whereby the heart and aorta are mirrored on the contralateral side. We describe a case of a 93-year-old female with dextrocardia who presented with chest pain, atrial fibrillation with rapid ventricular response, and transient inferior ST elevation. Coronary angiography demonstrated an eccentric mid right coronary artery (RCA) lesion and apical ballooning consistent with concurrent takotsubo cardiomyopathy (TTC). To our knowledge, this is the first reported case of this dual pathology in a patient with dextrocardia, highlighting the procedural and diagnostic complexity in the setting of a rare anatomicvariant.
Related Concept Videos
Cardiomyopathy II: Dilated Cardiomyopathy
Cardiomyopathy III: Hypertrophic Cardiomyopathy
Cardiomyopathy IV: Restrictive Cardiomyopathy
Cardiomyopathy I: Introduction and Classification
Cardiomyopathy V: Interprofessional Care
Imbalances in Cardiac Output
CHF can occur due to the failure of either side of the heart. Left-side failure leads to pulmonary congestion—the right side continues to send...

