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一名右位心伴完全性内脏转位患者的射频肺静脉隔离术

Radiofrequency Pulmonary Vein Isolation in a Patient with Dextrocardia With Situs Inversus Totalis.

作者信息

Meulet John, Trim Geoffrey, Hunt Ben, Lim Kang-Teng, James Andrew, Henry Albert, Pirihi Wayne, Davies Paul, Brabant Jason

机构信息

John Flynn Private Hospital, Brisbane, Qld, Australia.

John Flynn Private Hospital, Brisbane, Qld, Australia.

出版信息

Heart Lung Circ. 2017 Aug;26(8):e33-e36. doi: 10.1016/j.hlc.2016.10.003. Epub 2016 Nov 19.

Abstract

BACKGROUND

We present a case report of a 67-year-old male with dextrocardia situs inversus totalis and persistent atrial fibrillation who presented for radiofrequency pulmonary vein isolation.

METHODS

Pulmonary vein isolation was performed using the St Jude Medical Ensite NavX 3D mapping system with AccuNav ICE guidance.

RESULTS

All pulmonary veins were successfully isolated. The procedure time was 125 mins with a fluoroscopy time of 44.3 mins. The fluoro dose was 2095cGycm2. There were no procedural complications.

CONCLUSIONS

Radiofrequency pulmonary vein isolation can be performed safely and successfully in patients with dextrocardia and situs inversus totalis.

摘要

背景

我们报告一例67岁男性患者,患有右位心伴完全性内脏转位及持续性心房颤动,前来接受射频肺静脉隔离术。

方法

使用圣犹达医疗公司的Ensite NavX 3D标测系统并在AccuNav ICE引导下进行肺静脉隔离。

结果

所有肺静脉均成功隔离。手术时间为125分钟,透视时间为44.3分钟。透视剂量为2095cGycm2。无手术并发症。

结论

对于右位心伴完全性内脏转位的患者,射频肺静脉隔离术可安全、成功地实施。

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