Magnetic resonance imaging of acute myocardial infarction in dextrocardia with situs solitus (dextroversion).
The case report of an 88-year-old woman with dextroversion and acute anterior wall myocardial infarction is presented. The patient, who had been diagnosed with dextrocardia 3 years prior to this admission, presented with right-sided chest pain. Coronary angiography demonstrated an 80% proximal left anterior descending artery stenosis which was successfully stented. A cardiac MRI was performed to exclude a left atrial thrombus after an inconclusive echocardiogram. The MRI demonstrated findings consistent with dextroversion, with delayed contrast-enhanced viability sequences confirming a near transmural anterior wall myocardial infarct. To our knowledge, this is the first report illustrating the cardiac MRI findings in such a case.
Salanitri
J C
JC
Department of Radiology, Evanston Northwestern Memorial Hospital, 2650 Ridge Avenue, Chicago, IL 60201, USA. jsalanitri@enh.org
Welker
M
M
Pereles
F S
FS
D000368:Aged; D000369:Aged, 80 and over; D003914:Dextrocardia; D005260:Female; D006801:Humans; D008099:Liver / Q000002:abnormalities; D019028:Magnetic Resonance Imaging, Cine; D009203:Myocardial Infarction / Q000175:diagnosis*; D012857:Situs Inversus; D013154:Spleen / Q000002:abnormalities