PMC5767705_01
(A) Chest X-ray showing dextrocardia with a right aortic arch, right-sided stomach air bubble; (B) coronal CT scan showing the complete situs inversus. CT: computed tomography.
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Apex located right chest, aortic arch and descending aorta were also on the right (Fig. 1A). Coronal computed tomography (CT) scan showed complete situs inversus (Fig. 1B).
Coronary angiography showing no lesion in LAD.
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TIMI III flow was found ( Fig. 2). The RCA, as a dominant vessel, was thick with 80% diameter stenosis ( Fig. 3).
RCA showing nearly 80% of proximal segment stenosis.
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TIMI III flow was found ( Fig. 2). The RCA, as a dominant vessel, was thick with 80% diameter stenosis ( Fig. 3).
A drug-eluting stent was subsequently implanted at the lesion site and the intervention achieved optimal antegrade TIMI III flow without residual stenosis.
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After balloon pre-dilatation, a Xience V  3.0 x 23 mm (Abbott Vascular, Santa Clara, CA, USA) drug-eluting stent was subsequently implanted at the lesion site (Fig.4A), using an inflation pressure of 16 atm for 20s. TIMI III flow without residual stenosis (Fig. 4B). The patient's recovery post-angioplasty was uneventful.