文档介绍：Trans–coronary sinus puncture for catheter ablation
and left atrial appendage closure device implantation
in a patient with dextrocardia and persistent right
superior vena cava
Adi Lador, MD, Apoor Patel, MD, Miguel Valderrabano, MD
From the Department of Cardiology, Houston Methodist DeBakey Heart and Vascular Center, Houston
Methodist Research Institute, Houston Methodist Hospital, Houston, Texas.
Introduction KEY TEACHING POINTS
Dextrocardia is a rare congenital condition in which the apex
of the heart is located on the right side of the body. Transsep- Trans–coronary sinus puncture may be of utility in
tal puncture and catheter ablation in the left atrium in patients patients in whom conventional transseptal
with dextrocardia may be challenging. Dextrocardia with si- puncture is difficult or not feasible.
tus solitus, in which the viscera are in the normal position, is –
often associated with additional congenital anomalies. We Trans coronary sinus puncture to the left atrium
describe a case of a patient with dextrocardia, situs solitus, can be performed safely.
persistent right superior vena cava (SVC) with atrial fibrilla- In patients with complex anatomy, preprocedural
tion, atrial tachycardia, and gastrointestinal bleeding who planning and gathering information of the
presented for catheter ablation