Takotsubo Cardiomyopathy in Dextrocardia with Situs Inversus

Takotsubo cardiomyopathy (TTC) is an acute reversible form of left ventricular (LV) systolic dysfunction extending beyond a coronary artery vascular territory usually due to physical or psychological stressors. Dextrocardia with situs inversus is a rare embryologic anomaly whereby the heart and aort...

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Main Authors: A. Ganes, L. Segan
Format: Article
Language:English
Published: Wiley 2020-01-01
Series:Case Reports in Cardiology
Online Access:http://dx.doi.org/10.1155/2020/8844691
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author A. Ganes
L. Segan
author_facet A. Ganes
L. Segan
author_sort A. Ganes
collection DOAJ
description Takotsubo cardiomyopathy (TTC) is an acute reversible form of left ventricular (LV) systolic dysfunction extending beyond a coronary artery vascular territory usually due to physical or psychological stressors. Dextrocardia with situs inversus is a rare embryologic anomaly whereby the heart and aorta are mirrored on the contralateral side. We describe a case of a 93-year-old female with dextrocardia who presented with chest pain, atrial fibrillation with rapid ventricular response, and transient inferior ST elevation. Coronary angiography demonstrated an eccentric mid right coronary artery (RCA) lesion and apical ballooning consistent with concurrent takotsubo cardiomyopathy (TTC). To our knowledge, this is the first reported case of this dual pathology in a patient with dextrocardia, highlighting the procedural and diagnostic complexity in the setting of a rare anatomicvariant.
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spelling doaj-art-74d3aac0816945c782dfdd60f55376122025-02-03T01:01:55ZengWileyCase Reports in Cardiology2090-64042090-64122020-01-01202010.1155/2020/88446918844691Takotsubo Cardiomyopathy in Dextrocardia with Situs InversusA. Ganes0L. Segan1Department of Cardiology, Barwon Health, Bellerine Street, Geelong, VIC 3220, AustraliaDepartment of Cardiology, Barwon Health, Bellerine Street, Geelong, VIC 3220, AustraliaTakotsubo cardiomyopathy (TTC) is an acute reversible form of left ventricular (LV) systolic dysfunction extending beyond a coronary artery vascular territory usually due to physical or psychological stressors. Dextrocardia with situs inversus is a rare embryologic anomaly whereby the heart and aorta are mirrored on the contralateral side. We describe a case of a 93-year-old female with dextrocardia who presented with chest pain, atrial fibrillation with rapid ventricular response, and transient inferior ST elevation. Coronary angiography demonstrated an eccentric mid right coronary artery (RCA) lesion and apical ballooning consistent with concurrent takotsubo cardiomyopathy (TTC). To our knowledge, this is the first reported case of this dual pathology in a patient with dextrocardia, highlighting the procedural and diagnostic complexity in the setting of a rare anatomicvariant.http://dx.doi.org/10.1155/2020/8844691
spellingShingle A. Ganes
L. Segan
Takotsubo Cardiomyopathy in Dextrocardia with Situs Inversus
Case Reports in Cardiology
title Takotsubo Cardiomyopathy in Dextrocardia with Situs Inversus
title_full Takotsubo Cardiomyopathy in Dextrocardia with Situs Inversus
title_fullStr Takotsubo Cardiomyopathy in Dextrocardia with Situs Inversus
title_full_unstemmed Takotsubo Cardiomyopathy in Dextrocardia with Situs Inversus
title_short Takotsubo Cardiomyopathy in Dextrocardia with Situs Inversus
title_sort takotsubo cardiomyopathy in dextrocardia with situs inversus
url http://dx.doi.org/10.1155/2020/8844691
work_keys_str_mv AT aganes takotsubocardiomyopathyindextrocardiawithsitusinversus
AT lsegan takotsubocardiomyopathyindextrocardiawithsitusinversus