Successful catheter ablation of atrial fibrillation in a patient with dextrocardia
Author(s) -
Takuya Yamada,
Hugh T. McElderry,
Harish Doppalapudi,
Michael Platonov,
Andrew E. Epstein,
Vance J. Plumb,
G. Neal Kay
Publication year - 2008
Publication title -
ep europace
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.119
H-Index - 102
eISSN - 1532-2092
pISSN - 1099-5129
DOI - 10.1093/europace/eun165
Subject(s) - dextrocardia , medicine , situs inversus , pulmonary vein , atrial fibrillation , cardiology , catheter ablation , catheter , ablation , left atrium , surgery
A 49-year-old woman with dextrocardia and situs inversus underwent catheter ablation of paroxysmal atrial fibrillation. A contrast injection into the left atrium revealed that the left atrial appendage (LAA) was adjacent to the right-sided (anatomic left) superior pulmonary vein (PV). After successful isolation of that PV, LAA potentials were recorded from several electrode pairs of a circular PV mapping catheter. LAA may cause similar difficulties during PVI of the right-sided superior PV in a dextrocardia patient, as during PVI of the left superior PV in a normal heart.
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