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  • Title: [Transvenous pacemaker implantation for sick sinus syndrome with mirror-image dextrocardia].
    Author: Koyama K, Suzuki S, Fukui K, Odagiri S, Yamada Y, Takeuchi K, Munakata M, Koie H.
    Journal: Kokyu To Junkan; 1993 Dec; 41(12):1201-4. PubMed ID: 8284545.
    Abstract:
    A case of sick sinus syndrome with mirror-image dextrocardia which was associated with bilateral superior vena cava and an absent inferior vena cava with azygos continuation is reported. A 45-year-old woman was referred to our hospital with the chief complaints of dizziness and palpitation. The electrocardiogram showed a atrial fibrillation with a 4-second period of asystole. A permanent endocardial bipolar demand pacemaker was inserted through the left superior vena cava. Since anomaly of venous system is commonly associated with mirror-image dextrocardia, the angiogram is necessary prior to permanent pacemaker implantation.
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