Acute ST-segment elevation myocardial infarction in a patient with dextrocardia and left common carotid artery arising from the brachiocephalic trunk: a case report

Abstract

Dextrocardia is a rare anatomical anomaly in which the heart resides on the right side. Difficulties in diagnosing coronary pathology in this group of patients can significantly delay the diagnosis and worsen the treatment prognosis. This article presents a rare case of emergency percutaneous coronary intervention for acute ST-segment elevation myocardial infarction in a patient with dextrocardia and left common carotid artery arising from the brachiocephalic trunk. Taking into account the technical difficulties, the option of common femoral artery access during emergency percutaneous coronary intervention for STsegment elevation myocardial infarction in patients with dextrocardia or other anomalies in the location of internal organs and great vessels without confirmed earlier coronary anatomy.