title: Percutaneous transluminal coronary angioplasty for morphologic left anterior descending artery lesion in a patient with dextrocardia. A case report and literature review.
abstract: A case report of percutaneous transluminal coronary angioplasty (PTCA) to treat coronary atherosclerotic lesions in a patient with dextrocardia associated with situs inversus totalis is presented. The patient was a sixty-two-year-old man who was admitted with a diagnosis of congestive heart failure. Cardiac catheterization was performed. Left ventriculography showed mild hypokinesis in segments 2 and 3 with ejection fraction of 63%. Coronary arteriography revealed 74% stenosis in segment 7 of the left anterior descending (LAD) artery. PTCA for this lesion was performed. Successful dilation was achieved with the residual stenosis in the LAD reduced from 74% to 34%. Performance of PTCA in patients with dextrocardia is extremely rare, and only 8 cases have been reported to date. However, by visualizing the procedure as a mirror image and choosing a guide catheter that permits good engagement, it appears possible to perform it like ordinary PTCA.
authors.affiliation: Department of Internal Medicine (II), Daisan Hospital, Jikei University School of Medicine, Tokyo, Japan.
authors.forename: T
authors.initials: T
authors.lastname: Yamazaki
authors.forename: A
authors.initials: A
authors.lastname: Tomaru
authors.forename: K
authors.initials: K
authors.lastname: Wagatsuma
authors.forename: M
authors.initials: M
authors.lastname: Kudo
authors.forename: J
authors.initials: J
authors.lastname: Baba
authors.forename: K
authors.initials: K
authors.lastname: Takikawa
authors.forename: O
authors.initials: O
authors.lastname: Miho
authors.forename: M
authors.initials: M
authors.lastname: Yoshikawa
mesh_terms: D015906:Angioplasty, Balloon, Coronary; D006328:Cardiac Catheterization; D017023:Coronary Angiography; D003324:Coronary Artery Disease / Q000150:complications* / Q000000981:diagnostic imaging / Q000628:therapy*; D003914:Dextrocardia / Q000150:complications* / Q000000981:diagnostic imaging; D006801:Humans; D008297:Male; D008875:Middle Aged; D012857:Situs Inversus / Q000150:complications