Khan Naveed-Ullah, Farman Muhammad Tariq, Ashraf Tariq
National Institute of Cardiovascular Diseases, Karachi.
J Pak Med Assoc. 2012 Aug;62(8):847-9.
The case of a 40-year-old male with dextrocardia who presented with ST Elevated Myocardial Infarction (STEMI) is reported. Coronary angiogram was performed after due manipulation and then successful primary percutaneous coronary intervention (PCI) of Left anterior descending (LAD) coronary artery was done. His 9 months follow up primary PCI in a patient with angiogram revealed patent stent in proximal LAD. There are very few published case reports of this rare congenital anomaly addressing technical details of successful primary PCI with dextrocardia.
报告了一例40岁右位心男性患者出现ST段抬高型心肌梗死(STEMI)的病例。经适当操作后进行了冠状动脉造影,随后成功对左前降支(LAD)冠状动脉进行了直接经皮冠状动脉介入治疗(PCI)。对该患者进行9个月的随访,血管造影显示LAD近端支架通畅。关于这种罕见先天性异常并涉及右位心患者成功直接PCI技术细节的已发表病例报告非常少。