Pulmonary Vein Isolation and Pacemaker Implantation in a Patient with Dextrocardia Situs Inversus.

Abstract

A 70-year-old female with dextrocardia with situs inversus (DSI) totalis and inferior vena cava occlusion underwent radiofrequency catheter ablation because she had symptomatic paroxysmal atrial fibrillation (AF). Careful preoperative examination made successful pulmonary vein isolation through the left jugular vein approach. One-year later, however, AF recurred, and symptomatic sinus bradycardia or junctional bradycardia often occurred. Then, the pacemaker was implanted. We here reported a rare case of congenital abnormality, DSI with inferior vena cava occlusion who had undergone successful pulmonary vein isolation and pacemaker implantation without any complications.

• Authors: Yasuhiro Yokoyama, Takeshi Aiba, Koji Miyamoto, Hideaki Kanzaki, Nobuhiko Ueda, Kenzaburo Nakajima, Tsukasa Kamakura, Mitsuru Wada, Kenichiro Yamagata, Kohei Ishibashi, Yuko Inoue, Satoshi Nagase, Takashi Noda, Chisato Izumi, Kengo Kusano
• Journal: International heart journal (Int Heart J) Vol. 62 Issue 4 Pg. 927-931 (Jul 30 2021) ISSN: 1349-3299 [Electronic] Japan
• PMID: 34276015 (Publication Type: Case Reports, Journal Article)

Topics

• Aged
• Atrial Fibrillation (complications, surgery)
• Catheter Ablation (methods)
• Dextrocardia (diagnostic imaging)
• Female
• Humans
• Pacemaker, Artificial
• Sick Sinus Syndrome (surgery)
• Situs Inversus