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Implantation of a bi-ventricular pacing system in the setting of dextrocardia with situs inversus totalis.

Doshi AA, Cook SC, Hummel JD - Indian Pacing Electrophysiol J (2010)

Bottom Line: Dextrocardia with situs inversus totalis is a rare disorder but is frequently associated with anomalous venous return.Pacemaker/Internal Cardioverter Defibrillator implantation in this population can be difficult given the difficult venous anatomy.This case illustrates how beforehand knowledge of the venous anatomy by cardiac MRI can facilitate device implantation.

View Article: PubMed Central - PubMed

Affiliation: The Ohio State University, Columbus, OH, USA. Amit.Doshi@osumc.edu

ABSTRACT
Dextrocardia with situs inversus totalis is a rare disorder but is frequently associated with anomalous venous return. Pacemaker/Internal Cardioverter Defibrillator implantation in this population can be difficult given the difficult venous anatomy. This case illustrates how beforehand knowledge of the venous anatomy by cardiac MRI can facilitate device implantation.

No MeSH data available.


Related in: MedlinePlus

Coronal Cardiac MRI image of the patient showing the presence of the right persistent superior vena, left superior vena cava and bridging inominate vein.
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Figure 1: Coronal Cardiac MRI image of the patient showing the presence of the right persistent superior vena, left superior vena cava and bridging inominate vein.

Mentions: Given the dextrocardia, a right sided approach was undertaken to optimize defibrillation vectors. Triple cannulation of the right axillary vein was performed. Cardiac MRI had revealed the presence of a right persistent superior vena cava (RPSVC) and innominate vein bridging to the proper (given the diagnosis of situs inversus totalis) left superior vena cava (LSVC) (Figure 1).


Implantation of a bi-ventricular pacing system in the setting of dextrocardia with situs inversus totalis.

Doshi AA, Cook SC, Hummel JD - Indian Pacing Electrophysiol J (2010)

Coronal Cardiac MRI image of the patient showing the presence of the right persistent superior vena, left superior vena cava and bridging inominate vein.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC2803607&req=5

Figure 1: Coronal Cardiac MRI image of the patient showing the presence of the right persistent superior vena, left superior vena cava and bridging inominate vein.
Mentions: Given the dextrocardia, a right sided approach was undertaken to optimize defibrillation vectors. Triple cannulation of the right axillary vein was performed. Cardiac MRI had revealed the presence of a right persistent superior vena cava (RPSVC) and innominate vein bridging to the proper (given the diagnosis of situs inversus totalis) left superior vena cava (LSVC) (Figure 1).

Bottom Line: Dextrocardia with situs inversus totalis is a rare disorder but is frequently associated with anomalous venous return.Pacemaker/Internal Cardioverter Defibrillator implantation in this population can be difficult given the difficult venous anatomy.This case illustrates how beforehand knowledge of the venous anatomy by cardiac MRI can facilitate device implantation.

View Article: PubMed Central - PubMed

Affiliation: The Ohio State University, Columbus, OH, USA. Amit.Doshi@osumc.edu

ABSTRACT
Dextrocardia with situs inversus totalis is a rare disorder but is frequently associated with anomalous venous return. Pacemaker/Internal Cardioverter Defibrillator implantation in this population can be difficult given the difficult venous anatomy. This case illustrates how beforehand knowledge of the venous anatomy by cardiac MRI can facilitate device implantation.

No MeSH data available.


Related in: MedlinePlus