title: Coronary stenting using the radial approach in two women with situs viscerum inversus and acute myocardial infarction.
abstract: A situs inversus with dextrocardia (DC) is a rare condition in adults. Usually, patients have structurally normal hearts and normal life expectancy. The incidence of coronary artery disease in this setting is similar to that in the general population. Coronary revascularization may present potential difficulties related to the unusual anatomy. Although the radial artery is a safe and effective site of access for coronary interventions, some anatomical variations may make this procedure more complicated. We describe two cases of patients with situs viscerum inversus and acute myocardial infarction who underwent successful transradial percutaneous coronary intervention (PCI). We will show that coronary angioplasty with stent application via the radial approach in patients with DC is feasible and effective also in emergency and urgent care.
authors.affiliation: Catheterization Laboratory, Interventional Cardiology, Viale Risorgimento 80l, Reggio Emilia, Italy. mila.menozzi@asmn.re.it
authors.forename: Mila
authors.initials: M
authors.lastname: Menozzi
authors.forename: Vincenzo
authors.initials: V
authors.lastname: Guiducci
authors.forename: Gianluca
authors.initials: G
authors.lastname: Pignatelli
authors.forename: Paola
authors.initials: P
authors.lastname: Giacometti
authors.forename: Antonio
authors.initials: A
authors.lastname: Manari
mesh_terms: D002406:Catheterization, Peripheral / Q000379:methods*; D017023:Coronary Angiography; D004562:Electrocardiography; D005260:Female; D006801:Humans; D009203:Myocardial Infarction / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*; D009204:Myocardial Revascularization / Q000379:methods*; D017534:Radial Artery; D012857:Situs Inversus / Q000150:complications*; D015607:Stents