A Case of Successfully Implanted Dual Chamber Pacemaker in a Young Patient with Dextrocardia and Sick Sinus Syndrome.

Autor: Bakalli A; Clinic of Invasive Cardiology and Cardiosurgery, University Clinical Center of Kosova and Medical Faculty, University of Prishtina, Pristina, Kosovo., Jashari I; Clinic of Cardiology, University Clinical Center of Kosova, Pristina, Kosovo., Krasniqi X; Clinic of Invasive Cardiology and Cardiosurgery, University Clinical Center of Kosova and Medical Faculty, University of Prishtina, Pristina, Kosovo., Spahiu L; Pediatric Clinic, University Clinical Center of Kosova and Medical Faculty, University of Prishtina, Rr.Nëna Tereza pn, 10000 Pristina, Kosovo.
Jazyk: angličtina
Zdroj: Clinical medicine insights. Case reports [Clin Med Insights Case Rep] 2021 Jul 02; Vol. 14, pp. 11795476211017733. Date of Electronic Publication: 2021 Jul 02 (Print Publication: 2021).
DOI: 10.1177/11795476211017733
Abstrakt: Dextrocardia is a rare congenital anomaly, whereas its association with sick sinus syndrome in young adults without accompanying heart abnormalities is exceptional. We report a case of a 38 year old female patient who was admitted to our hospital due to syncope as a consequence of sinus pauses up to 4.9 seconds. She was also diagnosed with situs inversus totalis, with mirror image dextrocardia. Pacemaker implantation was indicated. Under local anesthesia, from the left subclavian vein, the guide wire was passed through superior vena cava to the right atrium and ventricle without any obstacles. In conclusion, situs inversus totalis with mirror image dextrocardia may present in combination with sick sinus syndrome as early as the fourth decade of life. Implantation of pacemaker leads from the left subclavian vein appears accessible and safe in patients with dextrocardia with situs inversus (mirror image).
Competing Interests: Declaration of conflicting interests: The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.
(© The Author(s) 2021.)
Databáze: MEDLINE