Zambrano Juan, De la Hera Aristides, De Marchena Eduardo
Cardiology Department, University of Miami, Miami, Florida, USA.
J Invasive Cardiol. 2006 Feb;18(2):E89-92.
Mechanical reperfusion is the preferred treatment for acute ST-elevation myocardial infarction, we describe a case of successful primary angioplasty and stenting in a patient with dextrocardia and situs inversus. Dextrocardia with complete situs inversus is a rare condition, occurring in about 2 in 10,000 live births. However, ischemic heart disease and myocardial infarction have been reported in patients with dextrocardia, and hence the coexistence of myocardial infarction and dextrocardia is not unusual. The incidence of atherosclerosis in this group is not known, but is considered to be the same as that in the general population. There have been a few reports of percutaneous coronary intervention in these patients. We describe a case of primary angioplasty and stenting in a patient with dextrocardia and situs inversus and the electrocardiographic correlation of successful myocardial reperfusion.
机械再灌注是急性ST段抬高型心肌梗死的首选治疗方法，我们描述了一例右位心并内脏转位患者成功进行直接血管成形术和支架置入术的病例。右位心并完全内脏转位是一种罕见的情况，在每10000例活产中约有2例发生。然而，已有报道称右位心患者患有缺血性心脏病和心肌梗死，因此心肌梗死与右位心并存并不罕见。该组患者动脉粥样硬化的发生率尚不清楚，但被认为与普通人群相同。已有少数关于这些患者经皮冠状动脉介入治疗的报道。我们描述了一例右位心并内脏转位患者的直接血管成形术和支架置入术以及成功心肌再灌注的心电图相关性。
