Successful catheter ablation of atrial fibrillation in a patient with dextrocardia.
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.
Division of Cardiovascular Disease, University of Alabama at Birmingham, VH B147, 1670 University Boulevard, 1530 3rd Avenue South, Birmingham, AL 35294-0019, USA. takumi-y@fb4.so-net.ne.jp
Takumi
T
Yamada
Hugh Thomas
HT
McElderry
Harish
H
Doppalapudi
Michael
M
Platonov
Andrew E
AE
Epstein
Vance J
VJ
Plumb
George Neal
GN
Kay
D001281:Atrial Fibrillation / Q000150:complications* / Q000175:diagnosis / Q000601:surgery*; D017115:Catheter Ablation / Q000379:methods*; D003914:Dextrocardia / Q000150:complications* / Q000175:diagnosis* / Q000601:surgery; D005260:Female; D006801:Humans; D008875:Middle Aged; D016896:Treatment Outcome