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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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
Online AccessGet full text
ISSN0002-9343
1555-7162
DOI10.1016/j.amjmed.2009.10.001

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Abstract 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.
AbstractList 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.
Author Tanawuttiwat, Tanyanan
Vasaiwala, Samip
Dia, Muhyaldeen
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References Grant (bib2) 1958; 18
Al-Khadra (bib1) 1995; 91
Rogel, Schwartz, Rakower (bib3) 1963; 44
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  publication-title: Chest
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  start-page: 1602
  year: 1995
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  ident: bib1
  article-title: Mirror-image dextrocardia with situs inversus
  publication-title: Circulation
– volume: 18
  start-page: 25
  year: 1958
  end-page: 36
  ident: bib2
  article-title: The syndrome of dextroversion of the heart
  publication-title: Circulation
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SubjectTerms Biological and medical sciences
Cardiovascular disease
General aspects
Internal Medicine
Medical imaging
Medical sciences
Medical treatment
Title Mirror Mirror
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