Acute coronary syndrome 3 ys. ago with PTCA (LCx).
Admitted for single episode of chest pain radiated to neck.
Rest ECG and enzymes negative for AMI.
Submitted for stress MPS with exercise.
Teaching points:
Dextrocardia is a congenital defect in which the heart is situated on the right side of the chest.
There are 2 main types of dextrocardia: isolated dextrocardia and dextrocardia with situs inversus.
In patients with dextrocardia, 180-degree imaging should be performed on a SPECT camera from the left anterior oblique to right posterior oblique rather than the usual right anterior oblique to left posterior oblique.
The perfusion images highlight the normal difference in length between the septum and lateral wall as seen in the vertical long-axis views, regardless of cardiac position.
