@article{ajmcr202513121,
author={{Taoussi, O. and Kamri, H. and Rabii, H. and Mokhtari, M. and Azeddoug, Z. and Merzouk, FZ. and Benouna, G.},
title={Navigating Mirrored Anatomy: Primary Percutaneous Coronary Intervention in Dextrocardia},
journal={American Journal of Medical Case Reports},
volume={13},
number={12},
pages={84--87},
year={2025},
url={https://pubs.sciepub.com/ajmcr/13/12/1},
issn={2374-216X},
abstract={Dextrocardia with situs inversus is a rare congenital condition in which thoracoabdominal organs follow a complete mirror orientation. While individuals are often asymptomatic, the management of acute coronary syndrome in this setting poses significant diagnostic and interventional challenges due to reversed anatomical relationships. We report a 60-year-old man with known dextrocardia who presented with acute anterior myocardial infarction. The initial ECG, recorded with standard left-sided precordial leads, failed to show clear ST-segment elevation; however, repositioning the leads to the right hemithorax revealed marked anterior ST elevation. Coronary angiography required systematic technical adaptation, including alternative catheter selection and ˇ°mirror-oppositeˇ± fluoroscopic projections to visualize the left anterior descending artery correctly. Primary percutaneous coronary intervention was successfully performed using an Amplatz Left 1 catheter for the left coronary artery and an Amplatz Right 1 catheter for the mirrored right coronary ostium. This case underscores the critical need for early recognition of dextrocardia and a structured approach to adapting catheter selection and angiographic views to ensure safe and effective coronary intervention in this challenging anatomical setting.},
doi={10.12691/ajmcr-13-12-1}
publisher={Science and Education Publishing}
}