Implantation of a Dual-Chamber Pacemaker in a Patient with Situs Inversus and Dextrocardia using a Novel Ultrasound Technique

João B Augusto; Mariana Faustino; Miguel B Santos; Nuno Cabanelas; Francisco Madeira; Carlos Morais

doi:10.4103/jcecho.jcecho_29_19

Implantation of a Dual-Chamber Pacemaker in a Patient with Situs Inversus and Dextrocardia using a Novel Ultrasound Technique

J Cardiovasc Echogr. 2019 Jul-Sep;29(3):129-131. doi: 10.4103/jcecho.jcecho_29_19.

Authors

João B Augusto^{1

2

3}, Mariana Faustino¹, Miguel B Santos¹, Nuno Cabanelas¹, Francisco Madeira¹, Carlos Morais¹

Affiliations

¹ Department of Cardiology, Hospital Prof. Doutor Fernando Fonseca, Lisbon, Portugal.
² Institute of Cardiovascular Science, University College London, London, UK.
³ Barts Heart Centre, St Bartholomew's Hospital, London, UK.

Abstract

We report a case of a 43-year-old man with situs inversus and dextrocardia who was admitted with syncope in the setting of complete atrioventricular block. The complex anatomy poses a considerable challenge to transvenous permanent pacemaker implantation. We employed a novel technique using vascular ultrasound and agitated saline solution to assist with lead positioning. This technique could be useful in pediatric populations or younger patients, in whom the use of ionizing radiation is an important issue.

Keywords: Bubble contrast; congenital cardiac disease; dextrocardia; pacemaker implantation; vascular ultrasound.

Publication types

Case Reports