Saha M, Chalil S, Sulke N
Department of Cardiology, Eastbourne District General Hospital, Eastbourne, East Sussex, UK.
Heart. 2004 Apr;90(4):e20. doi: 10.1136/hrt.2003.023739.
Dextrocardia is a rare clinical phenomenon with a reported incidence of one in 10 000. Consequently, acute coronary syndromes in such patients are rare. When chest pain occurs in this setting, it is important to be aware of the unique problems that may occur if coronary intervention is contemplated. Previous case reports have shown successful attempts at reperfusing one coronary artery percutaneously. In this case, coronary stents were successfully deployed in two vessels of a man with situs inversus, which has not been reported before. Additionally, the angiographic results that followed from successful intervention did not produce the expected haemodynamic and electrocardiographic changes.
右位心是一种罕见的临床现象，报道的发病率为万分之一。因此，此类患者发生急性冠状动脉综合征的情况很少见。当在此种情况下出现胸痛时，若考虑进行冠状动脉介入治疗，了解可能出现的独特问题很重要。既往病例报告显示经皮再灌注单支冠状动脉取得了成功。在此病例中，成功地在一名镜面右位心男性患者的两支血管中植入了冠状动脉支架，此前尚无此类报道。此外，成功干预后的血管造影结果并未产生预期的血流动力学和心电图变化。
