Dextrocardia, Anteroseptal infarction, and Fascicular Block

Mirror-image situs inversus with dextrocardia is very unusual, the incidence variously reported at 1:6,000 to 1:36,999. 1 Rosenberg HN Rosenberg IN Simultaneous association of situs inversus, coronary heart disease and hiatus hernia. Ann Intern Med. 1949; 30: 851 Crossref PubMed Scopus (43) Google Scholar Electrocardiograms (ECG) in this condition should be entirely normal if the limb and precordial electrodes are reversed right to left. 2 Shepard EM Stewart HJ Interpretation of the electrocardiogram in dextrocardia with situs inversus. Am Heart J. 1948; 36: 55 Abstract Full Text PDF PubMed Scopus (2) Google Scholar Several reports of ECG abnormalities and clinical heart disease in dextrocardia have been made in the past 50 years. 1 Rosenberg HN Rosenberg IN Simultaneous association of situs inversus, coronary heart disease and hiatus hernia. Ann Intern Med. 1949; 30: 851 Crossref PubMed Scopus (43) Google Scholar , 2 Shepard EM Stewart HJ Interpretation of the electrocardiogram in dextrocardia with situs inversus. Am Heart J. 1948; 36: 55 Abstract Full Text PDF PubMed Scopus (2) Google Scholar , 3 Crawford JH Warren CF Coronary thrombosis in a case of congenital dextrocardia with situs inversus. Am Heart J. 1938; 15: 240 Abstract Full Text PDF Scopus (2) Google Scholar , 4 Manchester B White PD Dextrocardia with situs inversus complicated by hypertensive and coronary heart disease. Am Heart J. 1938; 15: 493 Abstract Full Text PDF Scopus (1) Google Scholar , 5 Geeslin LE Tyler BR Myocardial infarction in congenital dextrocardia. South Med J. 1944; 37: 428 Crossref Scopus (2) Google Scholar , 6 Cain JC Angina pectoris associated with dextrocardia and situs inversus (case report). Am Heart J. 1945; 30: 202 Abstract Full Text PDF Scopus (1) Google Scholar , 7 Messer AL Donegan CK Orgain ES Congenital dextrocardia complicated by hypertension, coronary artery disease and myocardial infarction. Am J Med. 1948; 5: 304-307 Abstract Full Text PDF PubMed Scopus (2) Google Scholar , 8 Gentile C A case of isolated congenital dextrocardia without inversion of the chambers and associated with left ventricular hypertrophy and anteroseptal myocardial infarction. Am Heart J. 1949; 38 (abstract): 637 Google Scholar , 9 Walker WJ Richmond GH Posterior ventricular aneurysm in patient with dextrocardia and situs inversus. Am Heart J. 1954; 48: 275 Abstract Full Text PDF PubMed Scopus (4) Google Scholar , 10 Fischer DC Combination of dextrocardia, bundle branch block and myocardial infarction. Am J Cardiol. 1958; 2: 770 Abstract Full Text PDF PubMed Scopus (3) Google Scholar , 11 Jacoby WJ Jacobson WA Dextrocardia complicated by myocardial infarction. Am J Cardiol. 1963; 11: 119 Abstract Full Text PDF PubMed Scopus (6) Google Scholar , 12 Grenshaw RP Garcia-Palmieri MR Dextrocardia complicated by hypertension and myocardial infarction. Am Heart J. 1965; 70: 390 Abstract Full Text PDF Scopus (2) Google Scholar , 13 Kirk Jr, ED Transient bundle branch block due to myocardial infarction in a patient with dextrocardia and situs inversus. Am J Cardiol. 1965; 16: 297 Abstract Full Text PDF PubMed Scopus (3) Google Scholar , 14 Ptashkin D Stein E Warbasse JR Congenital dextrocardia with anterior wall myocardial infarction. Am Heart J. 1967; 74: 263 Abstract Full Text PDF PubMed Scopus (23) Google Scholar , 15 Hynes KM Gan GT Titus JL Coronary heart disease in situs inversus totalis. Am J Cardiol. 1973; 31: 666 Abstract Full Text PDF PubMed Scopus (70) Google Scholar We recently treated a young man with situs inversus and acute anteroseptal infarction with transient unifascicular block, who later had selective coronary angiography. The Kartagener syndrome (situs inversus, bronchiectasis, and sinusitis) was also present.