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Updated: Oct 26, 2026

Cox-Maze IV Procedure Concomitant with Valvular Surgery In Situs Inversus Dextrocardia: A Single-Center Experience in China
Published on: February 11, 2022
CCTA Roadmapping and OCT-Guided Multilesion PCI in Situs Inversus Dextrocardia
Tram Ngoc Toa Duong1, Nhan Thanh Vo1, Duong Van Nguyen1
1Interventional Cardiology Center, Tam Anh General Hospital, Ho Chi Minh City, Vietnam.
Case Summary:
A 68-year-old man with Canadian Cardiovascular Society class III angina underwent coronary computed tomography angiography (CCTA), which delineated mirror-image coronary anatomy and left main trifurcation, providing a preprocedural anatomical roadmap. Angiography confirmed the anticipated lesions, demonstrated the small caliber of the ramus intermedius artery, favoring a stent-sparing strategy, and revealed an additional severe distal left anterior descending artery stenosis not clearly appreciated on CCTA. Optical coherence tomography further characterized the left anterior descending artery lesions, provided calcium scoring, and guided lesion modification and stent optimization. After intervention, final angiography showed TIMI flow grade 3.
Take-Home Messages:
CCTA provided a preprocedural anatomical roadmap in the setting of mirror-image coronary anatomy. Angiography and optical coherence tomography subsequently refined lesion-specific treatment and percutaneous coronary intervention optimization.
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