Successful drug-eluting stent implantation in a male patient with dextrocardia: a case report

Author:

Long Wenjie1,He Zhiling2,Wang Xia2,Wu Huanlin2,Chen Yahui2,Yang Zhongqi3

Affiliation:

1. No. 1 Clinical College, Lingnan Medical Research Center, Guangzhou University of Chinese Medicine, Jichang road No.12, Guangzhou, Guangdong 510000, China

2. Department of Cardiology, Guangdong Provincial Hospital of Chinese Medicine, Dade Road No.111, Guangzhou, Guangdong 510000, China

3. Department of Geriatrics, Lingnan Medical Research Center, The First Affiliated Hospital of Guangzhou University of Chinese Medicine, Jichang Road No.16, Guangzhou, Guangdong 510000, China

Abstract

AbstractSitus inversus with dextrocardia is a rare condition, with complete transposition of all the body organs, including the heart. Percutaneous coronary intervention (PCI) in these patients is technically difficult because of the mirror image of organs. Here, we describe a 56-year-old man with coronary heart disease with known situs inversus with dextrocardia and coronary percutaneous intervention was performed for stenosis in the right coronary artery. A drug eluting stent was implanted at this site successfully. This case suggested that the interventional management of such patients follows the same general rules as for non-dextrocardia patients, but the manipulation of the catheter and projection position choices need to be taken into consideration to obtain optimal benefits for the patient.

Publisher

Walter de Gruyter GmbH

Subject

General Medicine

Reference18 articles.

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2. Percutaneous coronary intervention in a patient with situs inversus and dextrocardia, Anadolu Kardiyol;Derg.,2012

3. Coronary stenting using the radial approach in two women with situs viscerum inversus and acute myocardial infarction;Cardiovasc. Revasc. Med.,2012

4. Coronary artery bypass surgery in a patient with situs inversus;Chest,1982

5. Coronary angioplasty via the radial approach in an individual with dextrocardia;Int. J. Cardiol.,2008

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