Acute myocardial infarction in rare case of dextrocardia and situs solitus – recognizing the acute ischemic syndrome in the midst of the COVID-19 pandemic
The reduction of care for acute coronary syndrome during the COVID-19 pandemic is recognized. We describe a case of a patient with dextrocardia and situs solitus, a rare condition that occurs in adults in up to 1:900 thousand cases, admitted due to acute coronary syndrome in the context of paroxysmal atrial fibrillation. Some of the particularities of the congenital condition are described, such as epidemiology, associated structural abnormalities, and the strategy to perform the examination, as well as the discussion of anti-aggregation and anticoagulation therapies, given the concomitance with arrhythmia.
Acute myocardial infarction in rare case of dextrocardia and situs solitus – recognizing the acute ischemic syndrome in the midst of the COVID-19 pandemic
Oliveira,Ricardo Peixoto and Sena,Joberto Pinheiro and Júnior,Belmiro Deusdete Ferreira de Araújo and Lima,Luciana Cardoso Silva and Brito,José Carlos Raimundo. Acute myocardial infarction in rare case of dextrocardia and situs solitus – recognizing the acute ischemic syndrome in the midst of the COVID-19 pandemic. J Transcat Intervent [online]. 2021, vol.29, [cited 2026-03-06], Available from: <https://jotci.org/article/acute-myocardial-infarction-in-rare-case-of-dextrocardia-and-situs-solitus-recognizing-the-acute-ischemic-syndrome-in-the-midst-of-the-covid-19-pandemic/>. ISSN . http://doi.org/10.31160/JOTCI202129A20200024.
Oliveira,Ricardo Peixoto; Sena,Joberto Pinheiro; Júnior,Belmiro Deusdete Ferreira de Araújo; Lima,Luciana Cardoso Silva; Brito,José Carlos Raimundo. Acute myocardial infarction in rare case of dextrocardia and situs solitus – recognizing the acute ischemic syndrome in the midst of the COVID-19 pandemic. J Transcat Intervent, v.29, Feb. 2021. Available from: <https://jotci.org/article/acute-myocardial-infarction-in-rare-case-of-dextrocardia-and-situs-solitus-recognizing-the-acute-ischemic-syndrome-in-the-midst-of-the-covid-19-pandemic/>. acess on 06 Mar. 2026. http://doi.org/10.31160/JOTCI202129A20200024.
Oliveira,Ricardo Peixoto, & Sena,Joberto Pinheiro, & Júnior,Belmiro Deusdete Ferreira de Araújo, & Lima,Luciana Cardoso Silva, & Brito,José Carlos Raimundo. (2021). Acute myocardial infarction in rare case of dextrocardia and situs solitus – recognizing the acute ischemic syndrome in the midst of the COVID-19 pandemic. J Transcat Intervent, 29, http://doi.org/10.31160/JOTCI202129A20200024.
OliveiraRicardo Peixoto, SenaJoberto Pinheiro, JúniorBelmiro Deusdete Ferreira de Araújo, LimaLuciana Cardoso Silva, BritoJosé Carlos Raimundo. Acute myocardial infarction in rare case of dextrocardia and situs solitus – recognizing the acute ischemic syndrome in the midst of the COVID-19 pandemic. J Transcat Intervent [Internet]. 2021 Feb [cited 2026 Mar 06]; 29: Available from: https://jotci.org/article/acute-myocardial-infarction-in-rare-case-of-dextrocardia-and-situs-solitus-recognizing-the-acute-ischemic-syndrome-in-the-midst-of-the-covid-19-pandemic/. http://doi.org/10.31160/JOTCI202129A20200024.
Figure 2
Coronary cineangiography and percutaneous coronary intervention. (A) Dextroposition. (B/C) Severe proximal lesion of the left anterior descending artery. (D) Result of percutaneous coronary intervention with stent placement.
, Joberto Pinheiro Sena, Belmiro Deusdete Ferreira de Araújo Júnior, Luciana Cardoso Silva Lima, José Carlos Raimundo Brito