Original Paper
ST-Elevation Myocardial Infarction in Situs Inversus Dextrocardia: A Case Report
Koh Keng Tat,1 Asri Said,1, 2 Oon Yen Yee,1 Siti Nadia binti Che Adinan,1 Ong Tiong Kiam1
- Summary
- Supplementary Material
- References
- About this Article
Summary
ST-elevation myocardial infarction (STEMI) in situs inversus dextrocardia is a rare combination and poses many challenges in terms of diagnosis and management. These include the early detection of dextrocardia as well as the interpretation of the ECG. In addition, percutaneous coronary intervention could be challenging in the setting of dextrocardia because of diffi culty in cannulating the coronary arteries, selection of catheters, catheter manipulation, image acquisition and interpretation. Keywords:
dextrocardia - situs inversus - STEMI - acute myocardial infarction - percutaneous coronary intervention
1 Department of Cardiology, Sarawak Heart Centre, 94000 Kota Samarahan, Sarawak
2 Faculty of Medicine and Health Sciences, University Malaysia Sarawak, Kota Samarahan, Sarawak
Correspondence to: Dr Koh Keng Tat, Department of Cardiology, Sarawak Heart Centre, 94300 Kota Samarahan, Sarawak, East Malaysia E-mail: keng_tat@hotmail.com
Open Access: This article is distributed under the terms of the Creative Commons Attribution License (CC-BY 4.0) which permits any use, distribution, and reproduction in any medium, provided the original author(s) and the source are credited.
Supplementary Material
Nil
References
1. Hynes KM, Gau GT, Titus JL. Coronary heart disease in situs inversus totalis. American Journal of Cardiology. 1973;31:666- 669. CrossRef PubMed
2. Richter S, Döring M, Desch S, Hindricks G. ECG pitfall: anterior myocardial infarction in dextorcardia. European Heart Journal. 2014 Jul 21;35(28):1887. CrossRef
3. Munawar M, Hartono B, Iskandarsyah K, Nguyen TN. Successful percutaneous coronary intervention for chronic total occlusion of right coronary artery in patient with dextrocardia. Cardiovaasc Interv and Ther. 2013; 28: 303-306. CrossRef
4. Potdar A, Sapkal G, Sharma S. Triple vessel percutaneous coronary intervention in a patient with situs inversus dextrocardia using a transradial approach. Indian Heart Journal. 2016 Sep;68 Suppl 2:S32-S35. doi: 10.1016/j. ihj.2016.03.005. Epub 2016 Mar 25.
5. Goel PK. Double-inversion technique for coronary angiography viewing in dextrocardia. Catheter Cardiovasc Interventions. 2005; 66:281-5. CrossRef
About this Article
TitleST-Elevation Myocardial Infarction in Situs Inversus Dextrocardia: A Case Report
Open Access
Available under Open Access
Journal
>> ASEAN Heart Journal
>> 24:1
Online Date
21 November 2019
DOI
10.7603/s40602-016-0010-7
Online ISSN
2315-4551
Publisher
ASEAN Federation of Cardiology
Additional Links
Topics
Cardiology
Keywords
dextrocardia
situs inversus
STEMI
acute myocardial infarction
percutaneous coronary intervention
Author Affiliations
1. Department of Cardiology, Sarawak Heart Centre, 94000, Kota Samarahan, Sarawak, Malaysia
2. Faculty of Medicine and Health Sciences,, University Malaysia Sarawak, Kota Samarahan, Sarawak, Malaysia
Correspondence to
Koh Keng Tat, keng_tat@hotmail.com