Successful Transvenous Implantation of a Permanent Pacemaker in a Patient with Situs Inversus with Dextrocardia Supported by Preceding Three-dimensional Computed Tomography

We herein report a 76-year-old woman with situs inversus and dextrocardia who underwent pacemaker implantation for sick sinus syndrome. Situs inversus with dextrocardia, which is frequently associated with cardiovascular malformation, is a rare congenital malformation wherein the thoracic and abdomi...

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Bibliographic Details
Published in:Internal Medicine 2024/06/15, Vol.63(12), pp.1739-1743
Main Authors: Nomura, Aina, Otani, Naoyuki, Kokubun, Atsuhiko, Mizuguchi, Satoshi, Kawamoto, Shun, Tomoe, Takashi, Kitahara, Keijiro, Sugiyama, Takushi, Horie, Yasuto, Sugimura, Hiroyuki, Yasu, Takanori
Format: Article
Language:English
Subjects:
3D-CT
Aged
case report
Computed tomography
Congenital defects
dextrocardia
Dextrocardia - complications
Dextrocardia - diagnostic imaging
Female
Heart
Humans
Imaging, Three-Dimensional
pacemaker
Pacemaker, Artificial
Pacemakers
Prosthesis Implantation - instrumentation
Prosthesis Implantation - methods
Sick Sinus Syndrome - complications
Sick Sinus Syndrome - diagnostic imaging
Sick Sinus Syndrome - therapy
situs inversus
Situs Inversus - complications
Situs Inversus - diagnostic imaging
Thorax
Tomography, X-Ray Computed
Treatment Outcome
Viscera
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Description
Summary:We herein report a 76-year-old woman with situs inversus and dextrocardia who underwent pacemaker implantation for sick sinus syndrome. Situs inversus with dextrocardia, which is frequently associated with cardiovascular malformation, is a rare congenital malformation wherein the thoracic and abdominal viscera are inverted compared with their normal positions. This renders the implantation of cardiac devices an arduous task. We therefore decided to gather preoperative anatomical information on patients with situs inversus and dextrocardia. We used three-dimensional computed tomography to collect preoperative information in order to facilitate the safe implantation of cardiac devices.
ISSN:0918-2918
1349-7235
1349-7235
DOI:10.2169/internalmedicine.2558-23