ACUTE INFERIOR MYOCARDIAL INFARCTION IN DEXTROCARDIA- DIAGNOSTIC AND THERAPEUTIC CHALLENGE

Authors : Muammer KARAKAYALI, Timor OMAR, Mahmut YESİN

Pages : 50-55

View : 19 | Download : 12

Publication Date : 2021-08-31

Article Type : Other Papers

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 insert ignore into journalissuearticles values(LCx); is the least frequent culprit artery for acute myocardial infarction insert ignore into journalissuearticles values(AMI); in the general population. An electrocardiogram insert ignore into journalissuearticles values(ECG); has very low sensitivity for detecting ST-segment elevation myocardial infarction insert ignore into journalissuearticles values(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.
Keywords : Acute myocardial infarction, Dextrocardia, Primary angioplasty