title: Implantable cardioverter-defibrillator in a patient with dextrocardia situs inversus.
abstract: BACKGROUND
  Dextrocardia is a congenital anomaly, which may have coexistent coronary artery disease (CAD), arrhythmias and conventional indications for device therapy. However, the implantation of transvenous leads can be technically challenging and the approach needs to be tailored to the patient's individual anatomy.
  
  
  METHODS
  A 54-year-old male with dextrocardia situs inversus and ischemic left ventricular dysfunction developed ventricular tachycardia and fibrillation. Therefore, left- sided approach, dual chamber implantable cardioverter-defibrillator (ICD) was applied using a conventional method and standard equipment after complete evaluation of cardiac anatomy and vascular assessment.
  
  
  CONCLUSIONS
  Electrical device implantation in patients with dextrocardia is possible after obtaining complete information about anatomy and/or coexisting congenital abnormalities, which helps in obtaining appropriate implantation approach.
authors.affiliation: Cardiology Department, Babol University of Medical Sciences, Babol, Iran.
authors.forename: Mehrdad
authors.initials: M
authors.lastname: Saravi
authors.affiliation: Cardiology Department of Mazandaran University of Medical Sciences, Sari, Iran.
authors.forename: Rozita
authors.initials: R
authors.lastname: Jalalian
authors.affiliation: Cardiology Department, Babol University of Medical Sciences, Babol, Iran.
authors.forename: Mohamadtaghi
authors.initials: M
authors.lastname: Hedayati
keywords: Dextrocardia; Implantable cardioverter-defibrillator (ICD); Multislice computed tomography; Pacemaker; Situs inversus