Artigo Acesso aberto Revisado por pares

Successful catheter ablation of atrial fibrillation in a patient with dextrocardia

2008; Oxford University Press; Volume: 10; Issue: 9 Linguagem: Inglês

10.1093/europace/eun165

ISSN

1532-2092

Autores

Takuya Yamada, Hugh T. McElderry, Harish Doppalapudi, Michael Platonov, Andrew E. Epstein, Vance J. Plumb, G. Neal Kay,

Tópico(s)

Congenital Heart Disease Studies

Resumo

A 49-year-old woman with dextrocardia and situs inversus underwent catheter ablation of paroxysmal atrial fibrillation. A contrast injection into the left atrium revealed that the left atrial appendage (LAA) was adjacent to the right-sided (anatomic left) superior pulmonary vein (PV). After successful isolation of that PV, LAA potentials were recorded from several electrode pairs of a circular PV mapping catheter. LAA may cause similar difficulties during PVI of the right-sided superior PV in a dextrocardia patient, as during PVI of the left superior PV in a normal heart.

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