December 2016, 24:10

06 December 2016

Original Paper

Original Paper

ST-Elevation Myocardial Infarction in Situs Inversus Dextrocardia: A Case Report

Koh Keng Tat, Asri Said, Oon Yen Yee, Siti Nadia binti Che Adinan, Ong Tiong Kiam

ASEAN Heart Journal

First online: 

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ST-elevation myocardial infarction (STEMI) in situs inversus dextrocardia is a rare combination and poses many challenges in terms of diagnosis and management. These include the early detection of dextrocardia as well as the interpretation of the ECG. In addition, percutaneous coronary intervention could be challenging in the setting of dextrocardia because of diffi culty in cannulating the coronary arteries, selection of catheters, catheter manipulation, image acquisition and interpretation.


dextrocardia - situs inversus - STEMI - acute myocardial infarction - percutaneous coronary intervention


1 Department of Cardiology, Sarawak Heart Centre, 94000 Kota Samarahan, Sarawak

2 Faculty of Medicine and Health Sciences, University Malaysia Sarawak, Kota Samarahan, Sarawak

Correspondence to: Dr Koh Keng Tat, Department of Cardiology, Sarawak Heart Centre, 94300 Kota Samarahan, Sarawak, East Malaysia E-mail:

Open Access: This article is distributed under the terms of the Creative Commons Attribution License (CC-BY 4.0) which permits any use, distribution, and reproduction in any medium, provided the original author(s) and the source are credited.



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