Chest
Selected ReportsCoronary Artery Bypass Surgery in a Patient with Situs Inversus
Section snippets
Case Report
A 58-year-old woman with known situs inversus totalis and adult onset diabetes mellitus had exertional- and anxietyrelated substernal and right anterior chest pain with radiation to the right arm in March 1980. Despite therapy with propranolol and nitrates, she required hospitalization on two occasions for severe and prolonged episodes of chest pain. There were no ECG changes of injury or infarction, and serial cardiac enzymes were normal. She was referred to the Medical University Hospital in
Discussion
Dextrocardia associated with situs inversus totalis is rare and infrequently associated with other congenital heart lesions.3 The incidence of acquired atherosclerotic coronary artery disease in these patients has not been established, but might be expected to be similar to that of the general population.4,5 There have been scattered case reports of myocardial infarction in this patient population.4, 5, 6, 7, 8, 9 Their clinical presentation and subsequent course seem not to differ from those
Acknowledgments
We wish to express our appreciation to John D. Thomas, Jr., M.D., of Loris, S.C., for referring this patient, and to Mrs. Deloris Lindberg for typing the manuscript.
References (9)
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Congenital dextrocardia with anterior wall myocardial infarction.
Am Heart J
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Dextrocardia complicated by myocardial infarction.
Am J Cardiol
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Dextrocardia, anteroseptal infarction and fascicular block.
Chest
(1975) - et al.
Inferior myocardial infarction in a patient with mirror-image dextrocardia and situs inversus totalis.
Chest
(1976)
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