• Internal medicine · Jun 2024

    Case Reports

    Successful Transvenous Implantation of a Permanent Pacemaker in a Patient with Situs Inversus with Dextrocardia Supported by Preceding Three-dimensional Computed Tomography: A Case Report.

    • Aina Nomura, Naoyuki Otani, Atsuhiko Kokubun, Satoshi Mizuguchi, Shun Kawamoto, Takashi Tomoe, Keijiro Kitahara, Takushi Sugiyama, Yasuto Horie, Hiroyuki Sugimura, and Takanori Yasu.
    • Department of Emergency and Critical Care Medicine, Dokkyo Medical University, Japan.
    • Intern. Med. 2024 Jun 15; 63 (12): 173917431739-1743.

    AbstractWe herein report a 76-year-old woman with situs inversus and dextrocardia who underwent pacemaker implantation for sick sinus syndrome. Situs inversus with dextrocardia, which is frequently associated with cardiovascular malformation, is a rare congenital malformation wherein the thoracic and abdominal viscera are inverted compared with their normal positions. This renders the implantation of cardiac devices an arduous task. We therefore decided to gather preoperative anatomical information on patients with situs inversus and dextrocardia. We used three-dimensional computed tomography to collect preoperative information in order to facilitate the safe implantation of cardiac devices.

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