Case Report


Emergent percutaneous coronary intervention for acute myocardial infarction in patients with mirror dextrocardia: case reports and brief review

Jiahui He, Yanming Sun, Xin Zhang, Ying Wang, Jiaoyue Zhong, Fang Lin, Yue Liu

Abstract

Mirror-image dextrocardia is a rare congenital abnormality with a life expectancy and risk
of myocardial infarction similar to the normal population. Although there have been few case reports of
emergent percutaneous coronary intervention (PCI) for acute myocardial infarction (AMI) in mirrorimage
dextrocardia, physicians, especially general and interventional cardiologists encounter problems in
the diagnosis and treatment of AMI in these patients. In this paper, we report our experience with two cases
of emergent transradial PCI for AMI in patients with the mirror-image dextrocardia. Subsequently, we
summarize clinical features, electrocardiograph characteristic, approach to emergent PCI based on a review
of the literature.

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