Successful Retrograde Percutaneous Coronary Intervention for Chronic Total Occlusion in a Patient with Dextrocardia.
Int Heart J
; 65(4): 775-777, 2024 Jul 31.
Article
in En
| MEDLINE
| ID: mdl-39010225
ABSTRACT
Dextrocardia is a very rare congenital malposition, and most cardiologists are not familiar with the radiographic angiograms of this condition. Here, we first report a case of dextrocardia with a chronic total occlusion (CTO) lesion undergoing retrograde percutaneous coronary intervention (PCI). Significant difficulties in lesion interpretation and device manipulation were encountered with the original angiograms. These challenges were not significantly improved until we adopted the double-inversion technique. The procedure was finally accomplished by using the kissing wire technique with a poor angle of attack. Retrograde CTO PCI for patients with dextrocardia is feasible with adequate techniques.
Key words
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Coronary Angiography
/
Dextrocardia
/
Coronary Occlusion
/
Percutaneous Coronary Intervention
Limits:
Aged
/
Humans
/
Male
/
Middle aged
Language:
En
Journal:
Int Heart J
Journal subject:
CARDIOLOGIA
Year:
2024
Document type:
Article