• J Cardiol Cases · Feb 2018

    Case Reports

    Acute myocardial infarction in dextrocardia - A diagnostic and therapeutic challenge. Can dextrocardia be a risk factor?

    • Abhishek Rathore, Chikkarasinakere Marilinge Gowda Somashekar, Kanchanahalli Siddegowda Sadananda, and Cholenahally Nanjappa Manjunath.
    • Department of Cardiology, Sri Jayadeva Institute of Cardiovascular Science and Research, Bangalore, India.
    • J Cardiol Cases. 2018 Feb 1; 17 (2): 48-51.

    AbstractAcute myocardial infarction in dextrocardia may present several challenges either in electrocardiographic diagnosis or coronary intervention or both, due to abnormal location of the heart, mirror images o the aorta and its branches, and abnormal coronary origin and orientation. Also, dextrocardia as a risk factor for coronary artery disease is less well established. We report the case of a young patient with dextrocardia and situs inversus without any risk factor who presented with acute extensive anterior wall myocardial infarction diagnosed after lead reversal and who successfully underwent coronary intervention using "double inversion technique". .

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