A Case Report on successful Transradial Coronary Angiography in Patient with Dextrocardia and Situs Solitus

Abstract

Background: Dextrocardia with situs solitus is a rare congenital anomaly characterized by the mirror image positioning of the heart within the chest cavity. Coronary angiography, a common diagnostic procedure for coronary artery disease, presents unique challenges in patients with dextrocardia and situs solitus due to altered anatomy and technical considerations.

Case Presentation: We present the case of a 42-year-old female with dextrocardia and situs solitus who presented with exertional chest pain. Initial evaluations by multiple physicians resulted in non-cardiac diagnoses. However, further evaluation at our hospital revealed dextrocardia and situs solitus. The patient underwent coronary angiography, employing specific catheter selection and manipulation techniques to visualize both the right and left coronary systems.

Management and Result: Coronary angiography was successfully performed via the right radial artery without complications. Both the right and left coronary systems were found to be normal, and the patient was discharged with prescribed medications after 12 hours of observation in the cardiac care unit.

Conclusion: Patients with dextrocardia and situs solitus may present with cardiac symptoms similar to routine cardiac patients. With appropriate techniques and expertise, coronary angiography can be safely performed in these patients without the need for altering the screen views. Understanding the specific considerations and challenges associated with catheter selection and manipulation is crucial for successful coronary angiography in this unique population. Further research and experience are needed to optimize the management of cardiac conditions in patients with dextrocardia and situs solitus.