Article

ASEAN Heart Journal

, 24:10

First online:

Open Access This content is freely available online to anyone, anywhere at any time.

ST-Elevation Myocardial Infarction in Situs Inversus Dextrocardia: A Case Report

  • Koh Keng TatAffiliated withDepartment of Cardiology, Sarawak Heart Centre Email author 
  • , Asri SaidAffiliated withDepartment of Cardiology, Sarawak Heart CentreFaculty of Medicine and Health Sciences,, University Malaysia Sarawak
  • , Oon Yen YeeAffiliated withDepartment of Cardiology, Sarawak Heart Centre
  • , Siti Nadia binti Che AdinanAffiliated withDepartment of Cardiology, Sarawak Heart Centre
  • , Ong Tiong KiamAffiliated withDepartment of Cardiology, Sarawak Heart Centre

Summary

ST-elevation myocardial infarction (STEMI) in situs inversus dextrocardia is a rare combination and poses many challenges in terms of diagnosis and management. These include the early detection of dextrocardia as well as the interpretation of the ECG. In addition, percutaneous coronary intervention could be challenging in the setting of dextrocardia because of diffi culty in cannulating the coronary arteries, selection of catheters, catheter manipulation, image acquisition and interpretation.

Keywords:

dextrocardia situs inversus STEMI acute myocardial infarction percutaneous coronary intervention