title: Transseptal puncture in situs inversus totalis using a conventional fluoroscopic approach.
abstract: Situs inversus totalis (SIT) is a congenital disorder characterized by mirror reversal of the thoracic and abdominal organs. The underlying cardiovascular malpositions complicate transseptal catheterization. In the present report, we present the case of a patient with SIT, where access in the morphologic left atrium was gained with conventional fluoroscopic approach without the use of intracardiac imaging modalities.
authors.affiliation: Deutsches Herzzentrum und 1. Medizinische Klinik Rechts der Isar, Faculty of Medicine, Technische Universität München, Lazarettstr. 36, 80636 Munich, Germany. stzeis@otenet.gr
authors.forename: Stylianos
authors.initials: S
authors.lastname: Tzeis
authors.forename: Gabriele
authors.initials: G
authors.lastname: Hessling
authors.forename: Isabel
authors.initials: I
authors.lastname: Deisenhofer
mesh_terms: D006328:Cardiac Catheterization / Q000379:methods*; D017115:Catheter Ablation; D005471:Fluoroscopy / Q000379:methods*; D006343:Heart Septal Defects / Q000000981:diagnostic imaging / Q000209:etiology*; D006801:Humans; D008297:Male; D008875:Middle Aged; D012857:Situs Inversus / Q000150:complications*; D013610:Tachycardia / Q000175:diagnosis* / Q000601:surgery; D016896:Treatment Outcome