Key result
Emergency femoral PCI offers a viable option for acute STEMI in dextrocardia with unconfirmed anatomy.
Why the study?
Dextrocardia presents diagnostic and technical challenges in coronary pathology that can delay diagnosis and worsen treatment outcomes in acute STEMI.
Case Report (n=1)
Common femoral artery access may be a preferable option during emergency PCI for STEMI in patients with dextrocardia or other anatomical anomalies without previously confirmed coronary anatomy.
Demonstrates technical feasibility of emergency PCI in dextrocardia with anomalous carotid origin; leaves open need for standardized approaches in larger cohorts.
Dextrocardia is a rare anatomical anomaly in which the heart resides on the right side. Difficulties in diagnosing coronary pathology in this group of patients can significantly delay the diagnosis and worsen the treatment prognosis. This article presents a rare case of emergency percutaneous coronary intervention for acute ST-segment elevation myocardial infarction in a patient with dextrocardia and left common carotid artery arising from the brachiocephalic trunk. Taking into account the technical difficulties, the option of common femoral artery access during emergency percutaneous coronary intervention for STsegment elevation myocardial infarction in patients with dextrocardia or other anomalies in the location of internal organs and great vessels without confirmed earlier coronary anatomy.
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Vardanyan et al. (2023) conducted a case report in Acute ST-segment elevation myocardial infarction with dextrocardia (n=1). Emergency percutaneous coronary intervention via common femoral artery access was evaluated. Emergency percutaneous coronary intervention via common femoral artery access is presented as an option for acute STEMI in a patient with dextrocardia and unconfirmed coronary anatomy.
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