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:: Volume 7, Issue 4 (10-2016) ::
Caspian J Intern Med 2016, 7(4): 294-296 Back to browse issues page
Implantable cardioverter-defibrillator in a patient with dextrocardia situs inversus
Mehrdad Saravi *, Rozita Jalalian, Mohammadtaghi Hedayati
Cardiology department, Babol University of Medical Sciences, Babol, Iran.
Abstract:   (5669 Views)

Background: Dextrocardia is a congenital anomaly, which may have coexistent coronary artery disease (CAD), arrhythmias and conventional indications for device therapy. However, the implantation of transvenous leads can be technically challenging and the approach needs to be tailored to the patient's individual anatomy.

Case presentation: A 54-year-old male with dextrocardia situs inversus and ischemic left ventricular dysfunction developed ventricular tachycardia and fibrillation. Therefore, left- sided approach, dual chamber implantable cardioverter-defibrillator (ICD) was applied using a conventional method and standard equipment after complete evaluation of cardiac anatomy and vascular assessment.

Conclusion: Electrical device implantation in patients with dextrocardia is possible after obtaining complete information about anatomy and/or coexisting congenital abnormalities, which helps in obtaining appropriate implantation approach.

Keywords: Dextrocardia, Situs inversus, Pacemaker, Implantable cardioverter-defibrillator (ICD), Multislice computed tomography
Full-Text [PDF 376 kb]   (1415 Downloads)    
Type of Study: case report | Subject: Dermathology
Received: 2016/09/26 | Accepted: 2016/09/26 | Published: 2016/09/26
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Saravi M, Jalalian R, Hedayati M. Implantable cardioverter-defibrillator in a patient with dextrocardia situs inversus. Caspian J Intern Med. 2016; 7 (4) :294-296
URL: http://caspjim.com/article-1-874-en.html


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Volume 7, Issue 4 (10-2016) Back to browse issues page
Caspian Journal of Internal Medicine
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