RT Journal Article
SR Electronic
T1 Situs inversus and acute coronary syndrome
JF Heart
JO Heart
FD BMJ Publishing Group Ltd and British Cardiovascular Society
SP e20
OP e20
DO 10.1136/hrt.2003.023739
VO 90
IS 4
A1 M Saha
A1 S Chalil
A1 N Sulke
YR 2004
UL http://heart.bmj.com/content/90/4/e20.abstract
AB Dextrocardia is a rare clinical phenomenon with a reported incidence of one in 10 000. Consequently, acute coronary syndromes in such patients are rare. When chest pain occurs in this setting, it is important to be aware of the unique problems that may occur if coronary intervention is contemplated. Previous case reports have shown successful attempts at reperfusing one coronary artery percutaneously. In this case, coronary stents were successfully deployed in two vessels of a man with situs inversus, which has not been reported before. Additionally, the angiographic results that followed from successful intervention did not produce the expected haemodynamic and electrocardiographic changes.