Percutaneous coronary intervention in a patient with situs inversus and dextrocardia.

Situs inversus with dextrocardia is a rare congenital malposition of heart and thoraco-abdominal viscera. Although it is a rare clinical phenomenon, the association with coronary artery disease (CAD) is at the same frequency as in the general population (1). Few cases of situs inversus and dextrocardia complicated with CAD were reported before. The coronary angiography and percutaneous coronary intervention (PCI) in these patients is technically difficult and requires some modification, such as mirror image angiographic angulation, proper catheter selection and catheter manipulation for selective cannulation of the coronaries. Here we report a male case with dextrocardia and CAD successfully treated by bare metal stent implantation for a mid-lesion of the circumflex (Cx) artery.