Key result
Atrioventricular junction ablation was successfully performed in a patient with situs inversus, dextrocardia, and complex venous anatomy.
Case Report (n=1)
Demonstrates the feasibility of atrioventricular junction ablation in a patient with complex congenital venous anatomy and dextrocardia.
Success in rare congenital anatomy extends technical options; leaves open reproducibility and outcomes in similar patients.
Situs inversus with dextrocardia is an uncommon condition and is present in approximately 0.02% of the general population.1 Infrahepatic interruption of the inferior vena cava (IVC) is a congenital anomaly found in 1.3%–3.0% of patients with congenital heart disease, and it occurs in 8–18% of patients with dextrocardia.1 In this condition, the IVC is interrupted above the renal branches, and systemic venous flow from below the interruption usually drains into the superior vena cava (SVC) via an enlarged azygos vein.
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Kelesidis et al. (2015) conducted a case report in Situs inversus with dextrocardia and complex venous anatomy (n=1). Atrioventricular junction ablation was evaluated on Procedural success. Atrioventricular junction ablation was successfully performed in a patient with situs inversus, dextrocardia, and complex venous anatomy.
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