Mechanical thrombectomy for acute left middle cerebral artery occlusion in a patient with mirror- image dextrocardia

Authors

  • xianmin wang Dalian Medical University
  • Chao Jiang Clinical Medical School of Yangzhou University, Department of Neurology, Northern Jiangsu People's Hospital
  • Danni Chen Clinical Medical School of Yangzhou University, Department of Neurology, Northern Jiangsu People's Hospital
  • Xiaobo Li Clinical Medical School of Yangzhou University, Department of Neurology, Northern Jiangsu People's Hospital

DOI:

https://doi.org/10.54029/2023fmr

Keywords:

case report, dextrocardia, middle cerebral artery, mechanical thrombectomy

Abstract

Mirror-image dextrocardia is a physiological variant in which the heart is located in a mirror position to the right of the position of the normal human heart. Mirror-image dextrocardia combined with acute large-artery occlusive stroke is extremely rare in clinical practice. We present here a 67-year- old woman with complete blockage in her left middle cerebral artery. The patient also had a mirror- image dextrocardia. In this report, we share our experience in treating the patient using mechanical thrombectomy. During her visit to the emergency department, we performed various tests to understand the patient’s anatomy. Based on the findings, we decided to approach the femoral artery. Using a combination of stent thrombectomy and intermediate catheter aspiration, we successfully restored blood flow to the patient’s left middle cerebral artery.

Published

2023-12-30

Issue

Vol. 28 No. 4 (2023)

Section

Case Report