Chungyun Lin, Kaijun Cui
Department of Cardiology, West China Hospital, Sichuan University, Chengdu, Sichuan, China.
Front Cardiovasc Med. 2024 Nov 8;11:1454976. doi: 10.3389/fcvm.2024.1454976. eCollection 2024.
We present the case of an elderly woman with congenital dextrocardia who experienced severe palpitations. An electrocardiogram revealed paroxysmal atrial fibrillation, and her medical history unveiled cerebral infarction and renal failure. In the treatment of paroxysmal atrial fibrillation, anticoagulation is a key requirement. Although non-vitamin K antagonist oral anticoagulants are recommended by guidelines, their efficacy is compromised in patients undergoing dialysis due to renal metabolism. In addition, warfarin may cause fluctuations in international normalized ratio, which is not conducive to controlling symptoms of cerebral infarction. To improve the patient's quality of life, we focused on addressing the unique challenges posed by dextrocardia in a one-stop procedure.
我们报告了一例患有先天性右位心且经历严重心悸的老年女性病例。心电图显示阵发性心房颤动，其病史显示有脑梗死和肾衰竭。在阵发性心房颤动的治疗中，抗凝是关键要求。尽管指南推荐使用非维生素K拮抗剂口服抗凝剂，但由于肾脏代谢，其疗效在接受透析的患者中会受到影响。此外，华法林可能会导致国际标准化比值波动，这不利于控制脑梗死症状。为了提高患者的生活质量，我们专注于在一站式手术中应对右位心带来的独特挑战。
