Abstract
Dextrocardia with situs inversus has an incidence of 1 in 10,000 and is a rare cardiac anomaly in which the heart is located in the right hemithorax with the axis directed to the right and caudally. Patients with dextrocardia present a diagnostic challenge, especially in the setting of acute coronary syndrome. The left circumflex artery (LCx) is the least frequent culprit artery for acute myocardial infarction (AMI) in the general population. An electrocardiogram (ECG) has very low sensitivity for detecting ST-segment elevation myocardial infarction (STEMI) if the culprit lesion is in the LCx. The coexistence of dextrocardia and LCx occlusion increases the difficulty of diagnosis via ECG. We herein present a case of dextrocardia and LCx-related STEMI.
Coronary heart disease and AMI occur at the same frequency in patients with dextrocardia as in the general population. Notably, given the rarity of dextrocardia, only a few reports to date have described the existence of AMI as a result of acute LCx occlusion in a patient with dextrocardia.
References
- 1. Nesta M, Mazza A, Perri G, et al. Repair of posterior infarct ventricular septal defect in a patient with dextrocardia and situs inversus. J Card Surg 2016; 31: 147–49.
- 2. Ibanez B, James S, Agewall S, et al. 2017 ESC Guidelines for the management of acute myocardial infarction in patients presenting with ST-segment elevation: The Task Force for the management of acute myocardial infarction in patients presenting with ST-segment elevation of the European Society of Cardiology (ESC). Eur Heart J 2018; 39: 119–77.
- 3. Kang MG, Kim K, Park HW, et al. Door-toballoon time and cardiac mortality in acute myocardial infarction by total occlusion of the left circumflex artery. Coron Artery Dis 2018; 29: 409–15.
- 4. Bauer T, Gitt AK, Hochadel M, et al. Left circumflex artery-related myocardial infarction: does ST elevation matter? Results from the Euro Heart Survey PCI registry. Int J Cardiol 2013; 168: 5239–42.
Abstract
References
- 1. Nesta M, Mazza A, Perri G, et al. Repair of posterior infarct ventricular septal defect in a patient with dextrocardia and situs inversus. J Card Surg 2016; 31: 147–49.
- 2. Ibanez B, James S, Agewall S, et al. 2017 ESC Guidelines for the management of acute myocardial infarction in patients presenting with ST-segment elevation: The Task Force for the management of acute myocardial infarction in patients presenting with ST-segment elevation of the European Society of Cardiology (ESC). Eur Heart J 2018; 39: 119–77.
- 3. Kang MG, Kim K, Park HW, et al. Door-toballoon time and cardiac mortality in acute myocardial infarction by total occlusion of the left circumflex artery. Coron Artery Dis 2018; 29: 409–15.
- 4. Bauer T, Gitt AK, Hochadel M, et al. Left circumflex artery-related myocardial infarction: does ST elevation matter? Results from the Euro Heart Survey PCI registry. Int J Cardiol 2013; 168: 5239–42.
Details
| Primary Language | English |
|---|---|
| Subjects | Clinical Sciences |
| Journal Section | Research Articles |
| Authors | |
| Publication Date | August 31, 2021 |
| Submission Date | January 13, 2021 |
| Published in Issue | Year 2021 Volume: 3 Issue: 2 |