Acute ST-segment elevation myocardial infarction in a patient with dextrocardia and left common carotid artery arising from the brachiocephalic trunk: a case report
https://doi.org/10.15829/1728-8800-2023-3611
EDN: DXDJVX
Abstract
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.
Keywords
dextrocardia,
bovine aortic arch,
acute myocardial infarction in a patient with dextrocardia,
percutaneous coronary intervention in a patient with dextrocardia
Supporting agencies: none
About the Authors
A. B. Vardanyan
Central City Hospital
Russian Federation
Russian Federation
Azov
E. A. Arzumanyan
Central City Hospital
Russian Federation
Russian Federation
Azov
M. Z. Gasanov
Rostov State Medical University
Russian Federation
Russian Federation
Rostov-on-Don
N. B. Vardanyan
City Polyclinic №1
Russian Federation
Russian Federation
Rostov-on-Don
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Supplementary files
- Radial artery access, in the absence of contraindications, is currently the preferred approach for percutaneous coronary interventions. The key advantage of radial access compared to femoral access is the low rate of local complications.
- Tortuous course or atypical origin of the subclavian artery can significantly complicate or make it impossible to catheterize the coronary arteries with radial access. It can also cause reduced catheter control or support in cases of successful coronary artery catheterization, which in turn can delay or complicate coronary intervention.
- Reducing the first medical contact to infarct-related artery revascularization time in ST-segment elevation myocardial infarction reduces the risk of death and improves prognosis.
Review
For citations:
Vardanyan A.B., Arzumanyan E.A., Gasanov M.Z., Vardanyan N.B. Acute ST-segment elevation myocardial infarction in a patient with dextrocardia and left common carotid artery arising from the brachiocephalic trunk: a case report. Cardiovascular Therapy and Prevention. 2023;22(7):3611. (In Russ.) https://doi.org/10.15829/1728-8800-2023-3611. EDN: DXDJVX
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