Address for reprints: Yasushi Miyauchi, M.D., The First Department of Internal Medicine, Nippon Medical School, 1-1-5 Sendagi, Bunkyo-ku, Tokyo 1138603, Japan. Fax: +81-3-5685-0987; e-mail: [email protected]

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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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Volume28, Issue2

February 2005

Pages 164-167

Radiofrequency Catheter Ablation of a Coronary Sinus-Ventricular Accessory Connection in Dextrocardia with Complete Situs Inversus and an Anomalous Inferior Vena Cava

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Radiofrequency Catheter Ablation of a Coronary Sinus-Ventricular Accessory Connection in Dextrocardia with Complete Situs Inversus and an Anomalous Inferior Vena Cava

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