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Left transradial coronary angiography in a patient with dextrocardia.

Jang GS, Kim HS, Lee WY, Kim KI, Kim JS, Kim YM, Kim SA, Jo SH, Choi YJ, Rhim CY - Korean Circ J (2010)

Bottom Line: Although dextrocardia occurs rarely, the incidence of coronary artery disease is similar to the general population.Because of unfamiliarity with performing catheterization, transradial coronary angiography has seldom been performed in a patient with dextrocardia.We successfully performed left transradial coronary angiography in a patient with a right side heart using counter-directional torquing of the catheters and mirror-image angiographic angles.

View Article: PubMed Central - PubMed

Affiliation: Department of Internal Medicine, Hallym University Sacred Heart Hospital, Anyang, Korea.

ABSTRACT
Although dextrocardia occurs rarely, the incidence of coronary artery disease is similar to the general population. Because of unfamiliarity with performing catheterization, transradial coronary angiography has seldom been performed in a patient with dextrocardia. We successfully performed left transradial coronary angiography in a patient with a right side heart using counter-directional torquing of the catheters and mirror-image angiographic angles.

No MeSH data available.


Related in: MedlinePlus

Coronary angiogram showed 60% stenosis in the distal bifurcation of left main coronary artery and significant narrowing of proximal left anterior descending and left circumflex arteries.
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Figure 1: Coronary angiogram showed 60% stenosis in the distal bifurcation of left main coronary artery and significant narrowing of proximal left anterior descending and left circumflex arteries.

Mentions: A 54-year-old man with dextrocardia presented with severe exertional chest pain. He had been managed for hypertension, hypercholesterolemia, and diabetes mellitus. Chest X-ray showed a rightwardly displaced cardiac apex. Exercise testing using the Bruce protocol reproduced his symptoms within the second stage of the test. Because of his right handedness, coronary angiography was performed from the left radial artery. Selective coronary angiograms were obtained using counter-directional torquing of Judkins Left-4 and Amplatz Left-2 catheters and mirror-image angiographic angles. The left main coronary artery was 60% stenosed in the distal bifurcation, with significant narrowing of both proximal left anterior descending and left circumflex arteries (Fig. 1). The non-dominant right coronary artery was diffusely occluded at its mid segment (Fig. 2). He received bypass surgery due to multivessel disease with left main stem involvement. Instead of the left internal mammary artery, the right internal mammary artery was harvested for his right sided heart (Fig. 3).


Left transradial coronary angiography in a patient with dextrocardia.

Jang GS, Kim HS, Lee WY, Kim KI, Kim JS, Kim YM, Kim SA, Jo SH, Choi YJ, Rhim CY - Korean Circ J (2010)

Coronary angiogram showed 60% stenosis in the distal bifurcation of left main coronary artery and significant narrowing of proximal left anterior descending and left circumflex arteries.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC3008833&req=5

Figure 1: Coronary angiogram showed 60% stenosis in the distal bifurcation of left main coronary artery and significant narrowing of proximal left anterior descending and left circumflex arteries.
Mentions: A 54-year-old man with dextrocardia presented with severe exertional chest pain. He had been managed for hypertension, hypercholesterolemia, and diabetes mellitus. Chest X-ray showed a rightwardly displaced cardiac apex. Exercise testing using the Bruce protocol reproduced his symptoms within the second stage of the test. Because of his right handedness, coronary angiography was performed from the left radial artery. Selective coronary angiograms were obtained using counter-directional torquing of Judkins Left-4 and Amplatz Left-2 catheters and mirror-image angiographic angles. The left main coronary artery was 60% stenosed in the distal bifurcation, with significant narrowing of both proximal left anterior descending and left circumflex arteries (Fig. 1). The non-dominant right coronary artery was diffusely occluded at its mid segment (Fig. 2). He received bypass surgery due to multivessel disease with left main stem involvement. Instead of the left internal mammary artery, the right internal mammary artery was harvested for his right sided heart (Fig. 3).

Bottom Line: Although dextrocardia occurs rarely, the incidence of coronary artery disease is similar to the general population.Because of unfamiliarity with performing catheterization, transradial coronary angiography has seldom been performed in a patient with dextrocardia.We successfully performed left transradial coronary angiography in a patient with a right side heart using counter-directional torquing of the catheters and mirror-image angiographic angles.

View Article: PubMed Central - PubMed

Affiliation: Department of Internal Medicine, Hallym University Sacred Heart Hospital, Anyang, Korea.

ABSTRACT
Although dextrocardia occurs rarely, the incidence of coronary artery disease is similar to the general population. Because of unfamiliarity with performing catheterization, transradial coronary angiography has seldom been performed in a patient with dextrocardia. We successfully performed left transradial coronary angiography in a patient with a right side heart using counter-directional torquing of the catheters and mirror-image angiographic angles.

No MeSH data available.


Related in: MedlinePlus