Acute myocardial infarction due to right coronary artery occlusion in dextrocardia

Dextrocardia is described as the location of the heart mainly in the right chest and with the cardiac long axis directing to the right and inferiorly. Dextrocardia occurs rarely with a frequency of 1/10,000 in general population. The most important modifications in performing coronary angiography in such patients are opposite-direction catheter rotations and mirror-image angiographic angles. We describe a case of acute myocardial infarction in a 44-year-old Italian man with dextrocardia, situs inversus totalis and right coronary artery stenosis.