MYOCARDIAL INFARCTION IN PATIENT WITH SITUS INVERSUS TOTALIS – PROBLEMS IN DIAGNOSING

?. Slović, K. Vitošević, D. Todorović, D. P. Rodić, M. Todorović,

Abstract: Introduction. Situs inversus totalisis defined as a total inversion-transposition of all thoracic and abdominal organs, so the position of organs in these cavities is like a mirror image of normally positioned organs.
Case report. The study presents a case of a 49-year-old female with chest pain and hemodynamic instability. She was hospitalized at University Clinical Center of Kragujevac where she passed away two days later. During hospitalization, determined the condition of situs inversus totalis, but she was not diagnosed with myocardial infarction. After autopsy it was concluded that the cause of death was myocardial infarction
Conclusion. In patients with situs inversus totalis special attention should be paid to conducting and interpreting diagnostic procedures and conducting therapeutic procedures as well, since inverse anatomy of some structures demands different approach than usual.
Keywords: situs inversus, myocardial infarction, diagnosis, autopsy.