PMC2902043_01
Chest radiograph confirming dextrocardia with right-sided aortic arch and right-sided gastric bubble.
CRP2010-606327.001.jpg
PMC2902043_01_CRP2010-606327.001.jpg
fig1
Clinical examination revealed a right-sided apex impulse, and chest radiograph confirmed dextrocardia with right-sided aortic arch (Figure 1).
Coronary angiograms pre and post coronary intervention (left and right columns, resp.). Panels (a, b): Left anterior Oblique (LAO) caudal view showing lesion in large obtuse marginal (white arrow) and severe stenosis of LAD (black arrow), Panels (c, d): PA cranial view showing severe LAD stenosis prior to (c) and post intervention (d). Panels (e, f): Left-sided right coronary. artery in Right anterior oblique (RAO) view.
CRP2010-606327.002.jpg
PMC2902043_01_CRP2010-606327.002.jpg
fig2
A critical lesion was noted in the mid-left anterior descending (LAD) artery with a further significant stenosis at the proximal part of a large first obtuse marginal branch (Figure 2). There was a long segment of significant disease in the mid vessel and a focal lesion just before the crux (Figure 2).  Using the same guide catheter and wire in the LAO Caudal view (Figure 2), the obtuse marginal lesion was crossed and a 3.0 mm x 8 mm bare metal Liberte stent (Boston Scientific Corp.) was deployed. An excellent angiographic result was obtained at all sites (Figure 2:right column).