[Transvenous pacemaker implantation for sick sinus syndrome with mirror-image dextrocardia].
A case of sick sinus syndrome with mirror-image dextrocardia which was associated with bilateral superior vena cava and an absent inferior vena cava with azygos continuation is reported. A 45-year-old woman was referred to our hospital with the chief complaints of dizziness and palpitation. The electrocardiogram showed a atrial fibrillation with a 4-second period of asystole. A permanent endocardial bipolar demand pacemaker was inserted through the left superior vena cava. Since anomaly of venous system is commonly associated with mirror-image dextrocardia, the angiogram is necessary prior to permanent pacemaker implantation.
Koyama
K
K
First Department of Surgery, Hirosaki University School of Medicine.
Suzuki
S
S
Fukui
K
K
Odagiri
S
S
Yamada
Y
Y
Takeuchi
K
K
Munakata
M
M
Koie
H
H
D003914:Dextrocardia / Q000150:complications / Q000628:therapy*; D005260:Female; D006801:Humans; D008875:Middle Aged; D010138:Pacemaker, Artificial; D012804:Sick Sinus Syndrome / Q000150:complications / Q000628:therapy*; D014682:Vena Cava, Inferior / Q000002:abnormalities; D014683:Vena Cava, Superior / Q000002:abnormalities