OBJECTIVE Cases of Patients complicated with dextrocardia who suffered from acute cerebral infarction with large vessel occlusion and receive emergency thrombectomy are quite rare which have not been reported widely and are worthy of attention and learning. METHODS We report a case of a patient with mirror dextrocardia who suffered from cerebral infarction with large vessel occlusion and received emergency thrombectomy. RESULTS A male patient in his early 60s with dextrocardia had acute cerebral infarction with posterior circulation large vessel occlusion and underwent emergency thrombectomy. During the operation, rapid confirmation of dextrocardia and flexible use of interventional instruments helped establish the pathway, We used an intracranial thrombectomy stent and intracranial balloon dilation catheter to restore the cerebral blood supply. The modified Ranking scale (mRS) scores was 0 three at 3 months after thrombectomy, which means that the prognosis of the patient was good. CONCLUSIONS Acute cerebral infarction with large vessel occlusion in patients with dextrocardia is extremely rare, Emergency thrombectomy is feasible to recanalize cerebral blood flow and give patients a chance to recover well.
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