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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Language: | English |
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Wiley
2020-01-01
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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. |
format | Article |
id | doaj-art-74d3aac0816945c782dfdd60f5537612 |
institution | Kabale University |
issn | 2090-6404 2090-6412 |
language | English |
publishDate | 2020-01-01 |
publisher | Wiley |
record_format | Article |
series | Case Reports in Cardiology |
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 |