Coronary stenting using the radial approach in two women with situs viscerum inversus and acute myocardial infarction

Abstract A situs inversus with dextrocardia (DC) is a rare condition in adults. Usually, patients have structurally normal hearts and normal life expectancy. The incidence of coronary artery disease in this setting is similar to that in the general population. Coronary revascularization may present...

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Bibliographic Details
Published in:Cardiovascular revascularization medicine 2012-03, Vol.13 (2), p.128-132
Main Authors: Menozzi, Mila, Guiducci, Vincenzo, Pignatelli, Gianluca, Giacometti, Paola, Manari, Antonio
Format: Article
Language:English
Subjects:
Acute myocardial infarction
Cardiovascular
Catheterization, Peripheral - methods
Coronary Angiography
Coronary stenting
Electrocardiography
Female
Humans
Myocardial Infarction - complications
Myocardial Infarction - diagnostic imaging
Myocardial Infarction - surgery
Myocardial Revascularization - methods
Radial approach
Radial Artery
Situs Inversus - complications
Situs viscerum inversus
Stents
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Summary:Abstract A situs inversus with dextrocardia (DC) is a rare condition in adults. Usually, patients have structurally normal hearts and normal life expectancy. The incidence of coronary artery disease in this setting is similar to that in the general population. Coronary revascularization may present potential difficulties related to the unusual anatomy. Although the radial artery is a safe and effective site of access for coronary interventions, some anatomical variations may make this procedure more complicated. We describe two cases of patients with situs viscerum inversus and acute myocardial infarction who underwent successful transradial percutaneous coronary intervention (PCI). We will show that coronary angioplasty with stent application via the radial approach in patients with DC is feasible and effective also in emergency and urgent care.
ISSN:1553-8389
1878-0938
DOI:10.1016/j.carrev.2010.06.006