Department of Cardiovascular Medicine, National Cerebral and Cardiovascular Center.
Int Heart J. 2021 Jul 30;62(4):927-931. doi: 10.1536/ihj.20-804. Epub 2021 Jul 17.
A 70-year-old female with dextrocardia with situs inversus (DSI) totalis and inferior vena cava occlusion underwent radiofrequency catheter ablation because she had symptomatic paroxysmal atrial fibrillation (AF). Careful preoperative examination made successful pulmonary vein isolation through the left jugular vein approach. One-year later, however, AF recurred, and symptomatic sinus bradycardia or junctional bradycardia often occurred. Then, the pacemaker was implanted. We here reported a rare case of congenital abnormality, DSI with inferior vena cava occlusion who had undergone successful pulmonary vein isolation and pacemaker implantation without any complications.
一位 70 岁的女性，患有右位心合并内脏反位（DSI）和下腔静脉阻塞，因有症状的阵发性心房颤动（AF）而行射频导管消融术。仔细的术前检查通过左侧颈静脉入路成功实现了肺静脉隔离。然而，一年后，AF 再次发作，常出现有症状的窦性心动过缓或交界性心动过缓。随后，植入了起搏器。我们在此报告一例罕见的先天性异常病例，即 DSI 合并下腔静脉阻塞患者，该患者成功进行了肺静脉隔离和起搏器植入，没有任何并发症。
