Radiofrequency Catheter Ablation of a Coronary Sinus‐Ventricular Accessory Connection in Dextrocardia with Complete Situs Inversus and an Anomalous Inferior Vena Cava

An anomalous inferior vena cava (IVC) is often associated with patients with dextrocardia. However, radiofrequency catheter ablation in such a case with that combination has not been reported. We encountered a case of Wolff‐Parkinson‐White syndrome with dextrocardia associated with complete situs in...

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Published in:Pacing and clinical electrophysiology 2005-02, Vol.28 (2), p.164-167
Main Authors: TANIGUCHI, HIROSHI, MIYAUCHI, YASUSHI, KOBAYASHI, YOSHINORI, HIRASAWA, YASUHIRO, HOSAKA, HIROKI, IWASAKI, YU‐KI, KATOH, TAKAO, TAKANO, TERUO
Format: Article
Language:English
Subjects:
azygos vein
Catheter Ablation
cubital vein
Dextrocardia
Electrocardiography
Humans
Male
Middle Aged
Situs Inversus
Vena Cava, Inferior - abnormalities
Wolff-Parkinson-White Syndrome - surgery
Wolff‐Parkinson‐White syndrome
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Summary:An anomalous inferior vena cava (IVC) is often associated with patients with dextrocardia. However, radiofrequency catheter ablation in such a case with that combination has not been reported. We encountered a case of Wolff‐Parkinson‐White syndrome with dextrocardia associated with complete situs inversus and an azygos continuation of the IVC. A steep angulation at the junction of the azygos vein and superior vena cava precluded the precise mapping of the anatomical right cavity with a femoral vein approach. Successful catheter ablation of an accessory connection between the coronary sinus and left ventricle could be achieved with a right cubital vein approach.
ISSN:0147-8389
1540-8159
DOI:10.1111/j.1540-8159.2005.09510.x