Open AccessTrans‐aortic pulmonary vein isolation using magnetic navigation system for paroxysmal atrial fibrillation in a patient with dextrocardia, situs inversus, and inferior vena cava continuity with azygos vein
Author(s) -
Okajima Katsunori,
Nakanishi Tomoyuki,
Ichibori Hirotoshi,
Shirai Takeaki,
Kadotani Makoto,
Shimizu Hiroki,
Onishi Yoshio,
Yamashiro Kohei
Publication year - 2018
Publication title -
journal of arrhythmia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.463
H-Index - 21
eISSN - 1883-2148
pISSN - 1880-4276
DOI - 10.1002/joa3.12096
Subject(s) - medicine , dextrocardia , azygos vein , situs inversus , pulmonary vein , catheter ablation , atrial fibrillation , superior vena cava , inferior vena cava , cardiology , paroxysmal atrial fibrillation , ablation , vein , radiology
A 51‐year‐old male with dextrocardia and situs inversus underwent catheter ablation for paroxysmal atrial fibrillation. Because the procedure through the trans‐septal approach was impossible due to the inferior vena cava continuity with azygos vein, we performed pulmonary vein isolation using magnetic navigation system through the retrograde trans‐aortic approach. Superior and inferior left‐sided and superior right‐sided pulmonary veins could be isolated which was confirmed by the ablation catheter. The patient was free from atrial fibrillation episode at the 12 months follow‐up except only one palpitation episode lasting nearly 12 hours at 9 months after the ablation.