Biventricular Pacemaker Implantation in an Elderly Patient with Situs Inversus Dextrocardia

Year 2018, Volume: 71 Issue: 2, 181 - 183, 10.10.2018

Orçun Çıftcı

Abstract

Dextrocardia is a rare anomaly. Although other congenital defects may accompany this anomaly, many patients have normally functioning hearts, and when they get old, they face common cardiac disorders, namely coronary heart diease and heart failure and may require pacemaker implantation. The number of papers reporting biventricular pacemaker implantation in these patients is limited. We report a woman of advanced age with dextrocardia who underwent biventricular cardiac pacemaker implantation for advanced heart failure.

Keywords

Dextrocardia , Heart failure , Cardiac Resynchoronization Therapy , Biventricular Pacemaker , Elderly

Situs İnversus Dekstrokardili İleri Yaşlı Bir Hastada Biventriküler Kalp Pili İmplantasyonu

Abstract

Dekstrokardi nadir bir anomalidir. Bu anomaliye başka konjenital defektler eşlik edebilse de, birçok hastanın normal fonksiyon gösteren bir kalbi vardır ve bu hastalar yaşlandıklarında koroner arter hastalığı ve kalp yetersizliği gibi sık karşılaşılan kalp hastalıkları ile karşılaşmakta ve bu nedenlerle kalp pili takmak gerekebilmektedir. Dekstrokardili hastalarda kardiyak resenkronizasyon tedavisi amaçlı biventriküler kalp pil takılmasına ilişkin bildiri sayısı azdır. Biz bu olgu sunumunda ileri kalp yetersizliği için biventriküler kalp pili takılan dekstrokardili ileri yaşta bir kadın hasta bildirmekteyiz.

Keywords

Dekstrokardi , Kalp Yetersizliği , Kardiyak Resenkronizasyon Tedavisi , Biventriküler Kalp Pili , Yaşlı

References

• 1. Bohun CM, Potts JE, Casey BM, et al. A population-based study of cardiac malformations and outcomes associated with dextrocardia. Am J Cardiol 2007;100:305-309.
• 2. Shenthar J, Rai MK, Walia R, et al. Transvenous permanent pacemaker implantation in dextrocardia: technique, challenges, outcome, and a brief reprojectionof literature. Europace 2014;16:1327-1333.
• 3. Garg N, Agarwal BL, Modi N, et al. Dextrocardia: an analysis of cardiac structures in 125 patients. Int J Cardiol 2003;88:143-155.
• 4. Doshi AA, Cook SC, Hummel JD. Implantation of a bi-ventricular pacing system in the setting of dextrocardia with situs inversus totalis. Indian Pacing Electrophysiol J 2010;10:58-61.
• 5. Al Fagih A, Al Najashi K, Dagriri K, et al. Feasibility of Cardiac Resynchronization Therapy in a Patient with Complex Congenital Heart Disease and Dextrocardia, Facilitated by Cardiac Computed Tomography and Coronary Sinus Venography. Hellenic J cardiol 2010;51:178-182.
• 6. Zartner PA, Wiebe W, Volkmer M, et al. Transvenous cardiac resynchronization therapy in complex congenital heart diseases: dextrocardia with transposition of the great arteries after Mustard operation. Europace 2009;11:530-532.
• 7. Scott PA, Roberts PR. Cardiac resynchronization therapy upgrade in a patient with dextrocardia and situs inversus. Europace 2009;11:1562-1563.
• 8. Małecka B, Bednarek J, Tomkiewicz-Pajak L, et al. Resynchronization therapy transvenous approach in dextrocardia and congenitally corrected transposition of great arteries. Cardiol J 2010;17:503-508.
• 9. Gold MR, Shih HT, Herre J, et al. Comparison of defibrillation efficacy and survival associated with right versus left pectoral placement for implantable defibrillators. Am J Cardiol 2007;100:243-246.
• 10. Vurgun VK, Gerede M, Altın AT, et al. Implantation of a biventricular ICD in a patient with dextrocardia with situs inversus. Turk Kardiyol Dern Ars 2015;43:89-92.