'Two-by-two' pulmonary vein isolation in the presence of a complete situs inversus and dextrocardia: use of magnetic navigation and 3D mapping with image integration.
Interventions in patients with 'abnormal' anatomy are a challenge for every invasive cardiologist. Understanding of the underlying geometry by 3D reconstruction of a pre-acquired image is facilitating the orientation of the operator. The report describes how to perform catheter ablation of atrial fibrillation in a patient with complete situs inversus using the magnetic navigation system in conjunction to electroanatomical mapping.
Ernst
Sabine
S
National Heart and Lung Institute, Imperial College, Royal Brompton and Harefield Hospital, Sydney Street, SW3 6NP London, UK. s.ernst@rbht.nhs.uk
Berns
Ellison
E
D000328:Adult; D001281:Atrial Fibrillation / Q000150:complications / Q000601:surgery*; D018780:Body Surface Potential Mapping / Q000379:methods; D003914:Dextrocardia / Q000150:complications / Q000601:surgery*; D005260:Female; D006329:Heart Conduction System / Q000601:surgery*; D006801:Humans; D021621:Imaging, Three-Dimensional / Q000379:methods*; D008280:Magnetics / Q000379:methods; D011667:Pulmonary Veins / Q000601:surgery*; D012857:Situs Inversus / Q000150:complications / Q000601:surgery*; D025321:Surgery, Computer-Assisted / Q000379:methods*; D014057:Tomography, X-Ray Computed / Q000379:methods; D016896:Treatment Outcome