Open AccessSuccessful Use of Wearable Cardioverter Defibrillator in a Patient with Dextrocardia and Persistent Left Superior Vena Cava
Author(s) -
Wan Chingping,
Oren Jess W.,
Szymkiewicz Steven J.
Publication year - 2013
Publication title -
annals of noninvasive electrocardiology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.494
H-Index - 48
eISSN - 1542-474X
pISSN - 1082-720X
DOI - 10.1111/anec.12059
Subject(s) - medicine , dextrocardia , defibrillation , persistent left superior vena cava , cardiology , implantable cardioverter defibrillator , ventricular fibrillation , ventricular tachycardia , sudden cardiac death , sudden death , coronary sinus
Congenital disorders, such as dextrocardia and persistent left superior vena cava, are rare. However, their presence is often associated with other cardiac anomalies, and may lead to lethal ventricular tachyarrhythmias, which result in sudden cardiac death. Treating patients with these disorders can present a challenge to clinicians, as it may cause technical difficulties during interventional procedures, and more often, altered defibrillation techniques in a setting of prehospital sudden cardiac arrest. This report describes the first case of successful defibrillation therapy delivered by the wearable cardioverter defibrillator to a patient with dextrocardia and persistent left superior vena cava during a ventricular tachycardia arrest.