Implantation of a completely right sided subcutaneous cardioverter-defibrillator in a patient with situs inversus dextrocardia

González-Cordero, Ariel; López-Puebla, Javier; Franqui-Rivera, Hilton

doi:10.1016/j.ipej.2018.11.010

Cited by 6 publications

(6 citation statements)

References 5 publications

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“…The use of an S-ICD has already been demonstrated in adult patients with dextrocardia and dextrocardia with Fallot-tetralogy 5 as well as dextrocardia and situs inversus. 6 Our case also demonstrates the technical feasibility of left-sided S-ICD implantation in patients with dextrocardia and situs solitus.…”

Section: Discussionsupporting

confidence: 51%

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Case report of an S-ICD implantation for secondary prevention in a patient with complex congenital heart disease, dextrocardia, and situs solitus

Wiedmann

Simone

Rose

et al. 2022

European Heart Journal - Case Reports

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Background Dextrocardia is a congenital anomaly in which the apex of the heart is abnormally located on the right side of the chest. Situs solitus describes viscera that are in the normal position, with the stomach on the left side. In these patients, implantation of transvenous implantable cardioverter-defibrillator (ICD) can be limited by anatomical abnormalities commonly associated with this condition. Case summary We present the case of a young female patient with absent right atrioventricular (AV) connection, morphologically left systemic ventricle, muscular restrictive ventricular septal defect and dextrocardia with situs solitus who was indicated for secondary prophylactic ICD implantation after resuscitation for polymorphic ventricular tachycardia. Due to a bilateral bidirectional Glenn anastomosis transvenous access via the vena cava superior to the right ventricle could not be achieved. For this reason, we successfully implanted a subcutaneous ICD (S-ICD) with an individually optimized right parasternal electrode position. Potential complications of epimyocardial implantation via re-thoracotomy could thus be circumvented. Discussion In patients with complex congenital heart disease, the S-ICD is an effective method of preventing sudden cardiac death. Our case report demonstrates the feasibility of left S-ICD implantation even in the presence of dextrocardia with situs solitus.

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Section: Discussionsupporting

confidence: 51%

“…While subcutaneous ICDs (S-ICDs) are generally considered a good option to overcome the limitations of transvenous ICDs (TV-ICDs) delivery systems in complex anatomic conditions, published data on implantation of S-ICDs in dextrocardia are limited to a few case reports. 5 , 6 …”

Section: Introductionmentioning

confidence: 99%

Case report of an S-ICD implantation for secondary prevention in a patient with complex congenital heart disease, dextrocardia, and situs solitus

Wiedmann

Simone

Rose

et al. 2022

European Heart Journal - Case Reports

View full text Add to dashboard Cite

show abstract

“…In addition, the electrocardiogram of the patient suggested ventricular rate rapid atrial fibrillation, and it has been reported that patients with right-sided hearts are more prone to arrhythmias, especially atrial fibrillation/atrial flutter, which is thought to be related to genetic factors and hemodynamic and circulatory load changes. [4][5][6][7] The cerebral infarct TOAST classification was thought to be cardiogenic embolic.…”

Section: Discussionmentioning

confidence: 99%

Mechanical thrombectomy for acute left middle cerebral artery occlusion in a patient with mirror- image dextrocardia

Wang,

Jiang,

Chen

et al. 2023

NeuroAsia

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Mirror-image dextrocardia is a physiological variant in which the heart is located in a mirror position to the right of the position of the normal human heart. Mirror-image dextrocardia combined with acute large-artery occlusive stroke is extremely rare in clinical practice. We present here a 67-year- old woman with complete blockage in her left middle cerebral artery. The patient also had a mirror- image dextrocardia. In this report, we share our experience in treating the patient using mechanical thrombectomy. During her visit to the emergency department, we performed various tests to understand the patient’s anatomy. Based on the findings, we decided to approach the femoral artery. Using a combination of stent thrombectomy and intermediate catheter aspiration, we successfully restored blood flow to the patient’s left middle cerebral artery.

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“…In such patients, subcutaneous ICDs (S-ICDs) (Emblem A219; Boston Scientific, Marlborough, MA, USA) may be implanted. The reported experience with this form of therapy is encouraging [ 113 , 114 , 115 , 116 , 117 ].…”

Section: Management Of Cardiac Malposition Patients During Adulthoodmentioning

confidence: 99%

Therapy of Patients with Cardiac Malposition

Rao

2023

Children

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Positional abnormalities per se do not require treatment, but in their place, the accompanying pulmonary pathology in dextroposition patients and pathophysiologic hemodynamic abnormalities resulting from multiple defects in patients with cardiac malposition should be the focus of treatment. At the time of the first presentation, treating the pathophysiologic aberrations caused by the defect complex, whether it is by improving the pulmonary blood flow or restricting it, is the first step. Some patients with simpler or single defects are amenable to surgical or transcatheter therapy and should be treated accordingly. Other associated defects should also be treated appropriately. Biventricular or univentricular repair dependent on the patient’s cardiac structure should be planned. Complications in-between Fontan stages and after conclusion of Fontan surgery may occur and should be promptly diagnosed and addressed accordingly. Several other cardiac abnormalities unrelated to the initially identified heart defects may manifest in adulthood, and they should also be treated.

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Implantation of a completely right sided subcutaneous cardioverter-defibrillator in a patient with situs inversus dextrocardia

Cited by 6 publications

References 5 publications

Case report of an S-ICD implantation for secondary prevention in a patient with complex congenital heart disease, dextrocardia, and situs solitus

Case report of an S-ICD implantation for secondary prevention in a patient with complex congenital heart disease, dextrocardia, and situs solitus

Mechanical thrombectomy for acute left middle cerebral artery occlusion in a patient with mirror- image dextrocardia

Therapy of Patients with Cardiac Malposition

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