Acute myocardial infarction in rare case of dextrocardia and situs solitus – recognizing the acute ischemic syndrome in the midst of the COVID-19 pandemic

The reduction of care for acute coronary syndrome during the COVID-19 pandemic is recognized. We describe a case patient with dextrocardia and situs solitus, rare condition that occurs in adults up to 1:900 thousand cases, admitted due context paroxysmal atrial fibrillation. Some particularities congenital are described, such as epidemiology, associated structural abnormalities, strategy perform examination, well discussion anti-aggregation anticoagulation therapies, given concomitance arrhythmia.