Coronary artery disease and obstructive aortic disease in situs inversus.
A case of ischemic heart disease (IHD) in a patient with complex dextrocardia is presented. Management of such a patient poses special problem, and a difference in the technique of performing coronary angiography is required. With the right sided aortic arch, Judkins catheters rotated in the direction opposite to normal, result in successful coronary artery engagement. The occurrence of obstructive aortic (atypical coarctation) and large vessel disease was noted in the same patient.
Hameed
Shahid
S
Department of Cardiology, King Edward Medical College and Mayo Hospital, Lahore, Pakistan. shahdham@yahoo.com
Akhtar
Bilquees
B
Ahmad
Tanveer
T
Khan
Bilal Zakaria
BZ
D001017:Aortic Coarctation / Q000150:complications* / Q000000981:diagnostic imaging*; D017023:Coronary Angiography; D003324:Coronary Artery Disease / Q000150:complications* / Q000000981:diagnostic imaging*; D003914:Dextrocardia / Q000150:complications* / Q000000981:diagnostic imaging*; D005260:Female; D006801:Humans; D008875:Middle Aged