Yamaguchi T, Kikuchi S, Doi H, Watanabe A, Ebuoka M
Department of Thoracic and Cardio-vascular Surgery, Kitami Prefectural Hospital, Hokkaido, Japan.
Nihon Kyobu Geka Gakkai Zasshi. 1990 Sep;38(9):1538-42.
A 71-year-old woman was admitted to our hospital by ambulance, because of right chest pain and hypotension. Chest X-ray and standard 12-lead ECG showed mirror-image dextrocardia with situs inversus totalis. ECG with right-left reversal of all leads showed acute inferior myocardial infarction. The patient underwent coronary bypass surgery due to postinfarction angina, and she is now doing well 2 years following the operation. Mirror-image dextrocardia with situs inversus totalis is very unusual. But the patients are believed to have normal longevity, and presumably have an incidence of atherosclerotic coronary artery disease similar to the general population. To our knowledge, this is the first case of coronary bypass surgery on a patient with mirror-image dextrocardia in Japan.
一名71岁女性因右侧胸痛和低血压被救护车送往我院。胸部X线和标准12导联心电图显示镜像右位心伴全内脏转位。所有导联左右反转的心电图显示急性下壁心肌梗死。该患者因梗死后心绞痛接受了冠状动脉搭桥手术，术后2年目前情况良好。镜像右位心伴全内脏转位非常罕见。但据信这些患者寿命正常，且动脉粥样硬化性冠状动脉疾病的发病率可能与普通人群相似。据我们所知，这是日本首例为镜像右位心患者进行冠状动脉搭桥手术的病例。
