Korean Circ J.  2010 Nov;40(11):601-603. 10.4070/kcj.2010.40.11.601.

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

• KMID: 1826181
• DOI: http://doi.org/10.4070/kcj.2010.40.11.601

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.

Keyword

Dextrocardia; Coronary angiography

MeSH Terms

Catheterization
Catheters
Coronary Angiography
Coronary Artery Disease
Dextrocardia
Heart
Humans
Incidence

Figure

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  Fig. 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.

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  Fig. 2 Coronary angiogram showed that non-dominant right coronary artery was diffusely occluded.

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  Fig. 3 Instead of the left internal mammary artery, the right internal mammary artery was harvested for the graft due to abnormal right sided heart.

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