Percutaneous Coronary Intervention to Saphenous Vein Graft in a Patient with Dextrocardia Undergoing Coronary Artery Bypass Surgery

Dextrocardia is a rarely congenital anomaly. There are limited number of published case reports of percutaneous coronary intervention (PCI). A 60-year-old male patient was admitted to our hospital with complaints of dyspnoea and chest pain. Coronary angiography (CAG) viewed totally occluded left anterior descending artery (LAD) and totally occluded ramus circumflexus (RCX) which was filling antegradely. The LAD was perfused by the saphenous vein graft (SVG) and SVG to RCX was totally occluded. Aortocoronary SVG to the LAD was stenosis 95% and displayed hazy image. The SVG to the LAD was selectively cannulated with a guiding catheter and 3.0×15 mm drug eluting stent was implanted.