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Cox-Maze IV Procedure Concomitant with Valvular Surgery In Situs Inversus Dextrocardia: A Single-Center Experience in China
Published on: February 11, 2022
Implantable cardioverter-defibrillator in a patient with dextrocardia situs inversus
Mehrdad Saravi1, Rozita Jalalian2, Mohamadtaghi Hedayati1
1Cardiology Department, Babol University of Medical Sciences, Babol, Iran.
Insights
Implanting cardiac devices in patients with dextrocardia, a heart anomaly, is feasible. Careful anatomical assessment ensures successful lead placement for conditions like ventricular tachycardia.
Area of Science:
- Cardiology
- Medical Devices
Background:
- Dextrocardia is a congenital anomaly where the heart is on the right side of the chest.
- Patients with dextrocardia may present with coronary artery disease (CAD), arrhythmias, and require device therapy.
- Transvenous lead implantation in dextrocardia poses technical challenges due to unique patient anatomy.
Background:
Dextrocardia is a congenital anomaly, which may have coexistent coronary artery disease (CAD), arrhythmias and conventional indications for device therapy. However, the implantation of transvenous leads can be technically challenging and the approach needs to be tailored to the patient's individual anatomy.
Case Presentation:
A 54-year-old male with dextrocardia situs inversus and ischemic left ventricular dysfunction developed ventricular tachycardia and fibrillation. Therefore, left- sided approach, dual chamber implantable cardioverter-defibrillator (ICD) was applied using a conventional method and standard equipment after complete evaluation of cardiac anatomy and vascular assessment.
Conclusion:
Electrical device implantation in patients with dextrocardia is possible after obtaining complete information about anatomy and/or coexisting congenital abnormalities, which helps in obtaining appropriate implantation approach.
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