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. 2001 Nov;86(5):e15. doi: 10.1136/heart.86.5.e15

Coronary stent deployment in situs inversus

N Robinson, P Golledge, A Timmis
PMCID: PMC1729993  PMID: 11602566

Abstract

Situs inversus with dextrocardia occurs in approximately one in 10 000 patients. Successful stent deployment for the treatment of unstable angina and situs inversus is presented. Three technical challenges associated with the procedure are highlighted. Firstly, the successful choice of diagnostic and interventional catheters is based on an understanding of the orientation of the aortic arch. With a right sided aorta Judkins catheters should be successful. Secondly, image reversal is not necessarily required for image interpretation. Thirdly, successful coronary engagement with catheters requires rotation in a direction opposite to that normally used.


Keywords: dextrocardia; situs inversus; stenting; unstable angina

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Figure 1  .

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Left sided ECG while the patient was pain free.

Figure 2  .

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Right sided ECG while the patient was pain free.

Figure 3  .

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Right sided ECG during chest pain.

Figure 4  .

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Right anterior oblique (RAO) coronary angiogram of left sided right coronary artery.

Figure 5  .

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Left anterior oblique (LAO) caudal coronary angiogram of right sided left coronary artery.

Figure 6  .

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LAO left ventriculogram.

Figure 7  .

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RAO caudal view of circumflex stenosis before stent deployment.

Figure 8  .

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LAO caudal view of circumflex stenosis before stent deployment.

Figure 9  .

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RAO caudal view of final result after stent deployment.

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

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