title: Radiofrequency catheter ablation of a coronary sinus-ventricular accessory connection in dextrocardia with complete situs inversus and an anomalous inferior vena cava.
abstract: An anomalous inferior vena cava (IVC) is often associated with patients with dextrocardia. However, radiofrequency catheter ablation in such a case with that combination has not been reported. We encountered a case of Wolff-Parkinson-White syndrome with dextrocardia associated with complete situs inversus and an azygos continuation of the IVC. A steep angulation at the junction of the azygos vein and superior vena cava precluded the precise mapping of the anatomical right cavity with a femoral vein approach. Successful catheter ablation of an accessory connection between the coronary sinus and left ventricle could be achieved with a right cubital vein approach.
authors.affiliation: First Department of Internal Medicine, Nippon Medical School, 1-1-5 Sendagi, Tokyo, Japan.
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Taniguchi
authors.forename: Yasushi
authors.initials: Y
authors.lastname: Miyauchi
authors.forename: Yoshinori
authors.initials: Y
authors.lastname: Kobayashi
authors.forename: Yasuhiro
authors.initials: Y
authors.lastname: Hirasawa
authors.forename: Hiroki
authors.initials: H
authors.lastname: Hosaka
authors.forename: Yu-Ki
authors.initials: YK
authors.lastname: Iwasaki
authors.forename: Takao
authors.initials: T
authors.lastname: Katoh
authors.forename: Teruo
authors.initials: T
authors.lastname: Takano
mesh_terms: D017115:Catheter Ablation; D003914:Dextrocardia; D004562:Electrocardiography; D006801:Humans; D008297:Male; D008875:Middle Aged; D012857:Situs Inversus; D014682:Vena Cava, Inferior / Q000002:abnormalities*; D014927:Wolff-Parkinson-White Syndrome / Q000601:surgery*