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Updated: Jun 8, 2025

Author Spotlight: Advancements in Intracardiac Echocardiography for Atrial Anatomy Assessment
Published on: June 30, 2023
Intracardiac Echocardiography and Ablation of Atrial Fibrillation in Dextrocardia
Shuang Zhang1, Mingxian Chen1, Lin Hu1
1Department of Cardiovascular Medicine, The Second Xiangya Hospital of Central South University, Changsha, Hunan, China.
Background:
Dextrocardia with atrial fibrillation (AF) complicates radiofrequency ablation treatment.
Methods:
A case of successful AF ablation in dextrocardia, guided by intracardiac echocardiography (ICE) and the Carto 3 high-density mapping system, is reported.
Results:
ICE-guided transseptal puncture and three-dimensional mapping facilitated successful pulmonary vein isolation (PVI). The patient had a good recovery with no recurrence.
Conclusion:
ICE and Carto 3 system's high-density mapping aid in ablation for abnormal cardiac anatomy, reducing surgical complications.
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