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Successful percutaneous coronary intervention for chronic total occlusion of right coronary artery in patient with dextrocardia

Abstract

Situs inversus with dextrocardia is rare congenital anomaly. Coronary artery disease in such patients is quite rare. We reported a 52-year-old man with dextrocardia and chronic total occlusion at the proximal right coronary artery just after conus branch and severe stenosis at the proximal left anterior descending artery. He underwent successful percutaneous coronary intervention with stenting of total occluded right coronary artery and simultaneously stenting of the proximal left anterior descending artery.

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References

  1. 1.

    Uragoda CG. Dextrocardia and situs inversus in Sri Lanka. Trop Geogr Med. 1977;29:14–8.

    PubMed  CAS  Google Scholar 

  2. 2.

    Walmsley R, Hishitani T, Sandor GG, et al. Diagnosis and outcome of dextrocardia diagnosed in the fetus. Am J Cardiol. 2004;94:141–3.

    PubMed  Article  Google Scholar 

  3. 3.

    Rosenberg HN, Rosenberg IN. Simultaneous association of situs inversus, coronary heart disease and hiatus hernia; report of a case and review of literature. Ann Intern Med. 1949;30:851–9.

    PubMed  Article  CAS  Google Scholar 

  4. 4.

    Hynes KM, Gau GT, Titus JL. Coronary heart disease in situs inversus totalis. Am J Cardiol. 1973;31:666–9.

    PubMed  Article  CAS  Google Scholar 

  5. 5.

    Moreyra AE, Saviano GJ, Kostis JB. Percutaneous transluminal coronary angioplasty in situs inversus. Cathet Cardiovasc Diagn. 1987;13:114–6.

    PubMed  Article  CAS  Google Scholar 

  6. 6.

    Yabe Y, Tsukahara R. Percutaneous transluminal coronary angioplasty for culprit lesions in patients with post myocardial infarction angina based on dextrocardia and anomalous coronary arteries. Case reports and methods. Angiology. 1995;46:431–40.

    PubMed  Article  CAS  Google Scholar 

  7. 7.

    Goel PK. Double-inversion technique for coronary angiography viewing in dextrocardia. Catheter Cardiovasc Interv. 2005;66:281–5.

    PubMed  Article  Google Scholar 

  8. 8.

    Yamazaki T, Tomaru A, Wagatsuma K, et al. Percutaneous transluminal coronary angioplasty for morphologic left anterior descending artery lesion in a patient with dextrocardia. A case report and literature review. Angiology. 1997;48:451–6.

    PubMed  Article  CAS  Google Scholar 

  9. 9.

    Blankenship JC, Ramires JA. Coronary arteriography in patients with dextrocardia. Catheter Cardiovasc Diagn. 1991;23:103–6.

    Article  CAS  Google Scholar 

  10. 10.

    Gaglani R, Gabos DK, Sangani BH. Coronary angioplasty in a patient with dextrocardia. Catheter Cardiovasc Diagn. 1989;17:45–7.

    Article  CAS  Google Scholar 

  11. 11.

    Saito S, Tanaka S, Hiroe Y, et al. Angioplasty for chronic total occlusion by using tapered-tip guidewires. Catheter Cardiovasc Interv. 2003;59:305–11.

    PubMed  Article  Google Scholar 

  12. 12.

    Saito S. Different strategies of retrograde approach in coronary angioplasty for chronic total occlusion. Catheter Cardiovasc Interv. 2008;71:8–19.

    PubMed  Article  Google Scholar 

  13. 13.

    Surmely JF, Katoh O, Tsuchikane E, Nasu K, Suzuki T. Coronary septal collaterals as an access for the retrograde approach in the percutaneous treatment of coronary chronic total occlusions. Catheter Cardiovasc Interv. 2007;69:826–32.

    PubMed  Article  Google Scholar 

  14. 14.

    Kimura M, Katoh O, Tsuchikane E, et al. The efficacy of a bilateral approach for treating lesions with chronic total occlusions the CART (controlled antegrade and retrograde subintimal tracking) registry. JACC Cardiovasc Interv. 2009;2:1135–41.

    PubMed  Article  Google Scholar 

  15. 15.

    Cohen R, Hattab M, Elhadad S. Retrograde approach “reverse CART technique” with a single guiding catheter for chronic total occlusion of the right coronary artery via an anomalous left circumflex artery. J Invasive Cardiol. 2011;23:E92–4.

    PubMed  Google Scholar 

  16. 16.

    Hirokami M, Saito S, Muto H. Anchoring technique to improve guiding catheter support in coronary angioplasty of chronic total occlusions. Catheter Cardiovasc Interv. 2006;67:366–71.

    PubMed  Article  Google Scholar 

  17. 17.

    Shaukat A, Al-Bustami M, Ong PJ. Chronic total occlusion—use of a 5 French guiding catheter in a 6 French guiding catheter. J Invasive Cardiol. 2008;20:317–8.

    PubMed  Google Scholar 

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Correspondence to Muhammad Munawar.

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Munawar, M., Hartono, B., Iskandarsyah, K. et al. Successful percutaneous coronary intervention for chronic total occlusion of right coronary artery in patient with dextrocardia. Cardiovasc Interv and Ther 28, 303–306 (2013). https://doi.org/10.1007/s12928-013-0166-z

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Keywords

  • Dextrocardia
  • Chronic total occlusion
  • Percutaneous coronary intervention