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  • Title: Radiofrequency catheter ablation of a coronary sinus-ventricular accessory connection in dextrocardia with complete situs inversus and an anomalous inferior vena cava.
    Author: Taniguchi H, Miyauchi Y, Kobayashi Y, Hirasawa Y, Hosaka H, Iwasaki YK, Katoh T, Takano T.
    Journal: Pacing Clin Electrophysiol; 2005 Feb; 28(2):164-7. PubMed ID: 15679649.
    Abstract:
    An anomalous inferior vena cava (IVC) is often associated with patients with dextrocardia. However, radiofrequency catheter ablation in such a case with that combination has not been reported. We encountered a case of Wolff-Parkinson-White syndrome with dextrocardia associated with complete situs inversus and an azygos continuation of the IVC. A steep angulation at the junction of the azygos vein and superior vena cava precluded the precise mapping of the anatomical right cavity with a femoral vein approach. Successful catheter ablation of an accessory connection between the coronary sinus and left ventricle could be achieved with a right cubital vein approach.
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