Key result
Reversed right-sided S-ICD implantation succeeds in a patient with situs inversus totalis.
Why the study?
Situs inversus totalis presents unique technical challenges and anatomical anomalies where S-ICD implantation offers an alternative to transvenous systems.
Case Report (n=1)
S-ICD implantation is feasible and safe in patients with situs inversus totalis when using a reversed implant strategy guided by detailed imaging.
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May guide S-ICD planning in situs inversus; leaves open need for validation in larger cohorts.
Persico et al. (2026) conducted a case report in Situs inversus totalis and severe left ventricular hypokinesia post-NSTEMI (n=1). Subcutaneous implantable cardioverter-defibrillator (S-ICD) implantation was evaluated on Successful implantation and PRAETORIAN score. Subcutaneous implantable cardioverter-defibrillator implantation was successfully performed using a reversed right-sided approach in a 54-year-old female with situs inversus totalis.
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