Radiofrequency catheter ablation of an accessory pathway using biplane fluoroscopy is safe, feasible, and efficient in patients with dextrocardia.
Supports ablation feasibility in dextrocardia; hypothesis-generating and requires larger series before broader adoption.
A 60-year-old woman with situs inversus and paroxysmal supraventricular tachycardias utilizing an AV accessory pathway underwent successful, uncomplicated RF ablation. Using biplane fluoroscopy, accessory pathway catheter ablation in dextrocardia is as safe, easy, and useful as that for normal heart structure cases, and does not require a lengthy procedure.
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ABE et al. (1997) studied this question.
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