Radiofrequency Pulmonary Vein Isolation in a Patient with Dextrocardia With Situs Inversus Totalis

Heart Lung Circ. 2017 Aug;26(8):e33-e36. doi: 10.1016/j.hlc.2016.10.003. Epub 2016 Nov 19.

Abstract

Background: We present a case report of a 67-year-old male with dextrocardia situs inversus totalis and persistent atrial fibrillation who presented for radiofrequency pulmonary vein isolation.

Methods: Pulmonary vein isolation was performed using the St Jude Medical Ensite NavX 3D mapping system with AccuNav ICE guidance.

Results: All pulmonary veins were successfully isolated. The procedure time was 125 mins with a fluoroscopy time of 44.3 mins. The fluoro dose was 2095cGycm2. There were no procedural complications.

Conclusions: Radiofrequency pulmonary vein isolation can be performed safely and successfully in patients with dextrocardia and situs inversus totalis.

Keywords: Atrial fibrillation; Cardiac electrophysiology.; Dextrocardia situs inversus totalis; Pulmonary vein isolation; Radiofrequency ablation.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Atrial Fibrillation / diagnostic imaging*
  • Atrial Fibrillation / surgery*
  • Catheter Ablation*
  • Dextrocardia / diagnostic imaging*
  • Dextrocardia / surgery*
  • Fluoroscopy
  • Humans
  • Male