Mirror Mirror

Tanawuttiwat et al present a case study of a 52-year-old woman, who was presented with a suspected myocardial infarction with mirror-image dextrocardia, a condition in which the anterior-posterior relationship of the various parts of the heart are normal, but their right/left orientation is reversed...

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Bibliographic Details
Published inThe American journal of medicine Vol. 123; no. 1; pp. 34 - 36
Main Authors Tanawuttiwat, Tanyanan, Vasaiwala, Samip, Dia, Muhyaldeen
Format Journal Article
LanguageEnglish
Published New York, NY Elsevier Inc 2010
Elsevier
Elsevier Sequoia S.A
Subjects
Biological and medical sciences
Cardiovascular disease
General aspects
Internal Medicine
Medical imaging
Medical sciences
Medical treatment
Medicine
Mirror
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ISSN0002-9343
1555-7162
DOI10.1016/j.amjmed.2009.10.001

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Summary:Tanawuttiwat et al present a case study of a 52-year-old woman, who was presented with a suspected myocardial infarction with mirror-image dextrocardia, a condition in which the anterior-posterior relationship of the various parts of the heart are normal, but their right/left orientation is reversed. Mirror-image dextrocardia is almost always associated with situs inversus of the abdominal organs. In dextrocardia patients with acute myocardial infarction, diagnosis and treatment via coronary angiography and percutaneous intervention are challenging because the mirror-image position of the coronary ostia and the aortic arch complicate orientation and cannulation. The patient underwent successful percutaneous coronary intervention with bare-metal stem placement in the mid-right coronary artery. Medical therapy was optimized, and she was discharged home in stable condition.
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ISSN:0002-9343
1555-7162
DOI:10.1016/j.amjmed.2009.10.001