Korean Circ J.  2010 Nov;40(11):601-603. 10.4070/kcj.2010.40.11.601.

Left Transradial Coronary Angiography in a Patient With Dextrocardia

  • 1Department of Internal Medicine, Hallym University Sacred Heart Hospital, Anyang, Korea. cyj@hallym.or.kr
  • 2Department of Thoracic and Cardiovascular Surgery, Hallym University Sacred Heart Hospital, Anyang, Korea.


Although dextrocardia occurs rarely, the incidence of coronary artery disease is similar to the general population. Because of unfamiliarity with performing catheterization, transradial coronary angiography has seldom been performed in a patient with dextrocardia. We successfully performed left transradial coronary angiography in a patient with a right side heart using counter-directional torquing of the catheters and mirror-image angiographic angles.


Dextrocardia; Coronary angiography

MeSH Terms

Coronary Angiography
Coronary Artery Disease


  • Fig. 1 Coronary angiogram showed 60% stenosis in the distal bifurcation of left main coronary artery and significant narrowing of proximal left anterior descending and left circumflex arteries.

  • Fig. 2 Coronary angiogram showed that non-dominant right coronary artery was diffusely occluded.

  • Fig. 3 Instead of the left internal mammary artery, the right internal mammary artery was harvested for the graft due to abnormal right sided heart.

Cited by  1 articles

Successful Primary Percutaneous Coronary Intervention for Acute Myocardial Infarction in a Patient with Dextrocardia and Hypertrophic Cardiomyopathy
Su Young Jang, Myung Ho Jeong, Hyung Ki Jung, Kyoung Jin Lee, Min Goo Lee, Keun-Ho Park, Doo Sun Sim, Young Joon Hong, Ju Han Kim, Youngkeun Ahn, Jung Chaee Kang
J Lipid Atheroscler. 2012;1(1):29-33.    doi: 10.12997/jla.2012.1.1.29.


1. Rosenberg HN, Rosenberg IN. Simultaneous association of situs inversus, coronary heart disease, and hiatus hernia. Ann Intern Med. 1949. 30:851–859.
2. Hynes KM, Gau GT, Titus JL. Coronary heart disease in situs inversus totalis. Am J Cardiol. 1973. 31:666–669.
3. Moreyra AE, Saviano GJ, Kostis JB. Percutaneous transluminal coronary angioplasty in situs inversus. Cathet Cardiovasc Diagn. 1987. 13:114–116.
4. Jauhar R, Gianos E, Kashifuddin B, Roethel M, Kaplan BM. Primary angioplasty in a patient with dextrocardia. J Interv Cardiol. 2005. 18:127–130.
5. Goel PK. Double-inversion technique for coronary angiography viewing in dextrocardia. Catheter Cardiovasc Interv. 2005. 66:281–285.
6. Kim MH, Cha KS, Kim JS. Transradial intervension in Coronary Artery disease: Comparison with thransfemoral intervension. Korean Circ J. 1998. 28:1941–1952.
Full Text Links
  • KCJ
export Copy
  • Twitter
  • Facebook
Similar articles
Copyright © 2023 by Korean Association of Medical Journal Editors. All rights reserved.     E-mail: koreamed@kamje.or.kr