Radiofrequency catheter ablation of a right free-wall accessory pathway in dextrocardia with complete situs inversus.
An uncommon case of orthodromic atrioventricular reentrant tachycardia in a patient with dextrocardia and complete situs inversus is reported. There was no associated cardiac abnormality apart from the mirror image dextrocardia. An electrophysiological study and successful catheter ablation of a right free-wall concealed accessory pathway was performed. A simplified three-catheter technique from a femoral approach and monoplane fluoroscopy were used in a noncomplicated procedure of normal duration.
Herreros
Benito
B
Department of Cardiology, Hospital Universitario Son Dureta, Palma de Mallorca, Spain. bherreros@bbvnet.com
Expósito
Carmen
C
Mestre
Antonia
A
Bethencourt
Armando
A
D017115:Catheter Ablation; D003914:Dextrocardia / Q000150:complications*; D004562:Electrocardiography; D006801:Humans; D008297:Male; D008875:Middle Aged; D012857:Situs Inversus / Q000150:complications*; D013611:Tachycardia, Atrioventricular Nodal Reentry / Q000150:complications* / Q000601:surgery*