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Case Reports
. 2019 Aug 28;5(11):549-551.
doi: 10.1016/j.hrcr.2019.08.010. eCollection 2019 Nov.

Permanent His-bundle pacing for dextrocardia with situs inversus totalis using a combination of an electrode catheter and a deflectable sheath

Daisuke Yoshimoto  1 , Yuichiro Sakamoto  1 , Ryo Yamaguchi  1 , Takahiko Suzuki  1
Affiliations
Case Reports

Permanent His-bundle pacing for dextrocardia with situs inversus totalis using a combination of an electrode catheter and a deflectable sheath

Daisuke Yoshimoto et al. HeartRhythm Case Rep. .
No abstract available

Keywords: Complete atrioventricular block; Deflectable sheath; Dextrocardia; Electrode catheter; His-bundle pacing; Situs inversus.

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Figures

Figure 1
Figure 1
Baseline. A: A 12-lead electrocardiogram showing complete atrioventricular block by reversing both the arm and leg leads as well as right-side chest leads. B: Chest radiograph image showing dextrocardia. C: Cardiac magnetic resonance imaging showing the heart with the right and left sides reversed. LA = left atrium; LV = left ventricle; RA = right atrium; RV = right ventricle.
Figure 2
Figure 2
Successful site of His-bundle pacing. A: Local electrogram of the SelectSecure lead (Medtronic, Minneapolis, MN) in unipolar fashion at the His-bundle pacing site showing a minute His-bundle potential (arrow) and a large ventricular electrogram. B, C: Left anterior oblique (B) and right anterior oblique view (C) showing the SelectSecure lead located at the His-bundle pacing site through the C304 deflectable lead delivery sheath (Medtronic; triangles) and a deflectable decapolar mapping catheter (squares) at the para-Hisian site.
Figure 3
Figure 3
Implantation and results of His-bundle pacing. A: Continuous 12-lead electrocardiogram showing nonselective His-bundle pacing with narrow QRS (single asterisk) changing to right ventricular pacing with wide QRS (double asterisk) by decreasing the pacing output. B: Anterior-posterior projection radiographic image showing the atrial lead and His-bundle pacing lead.
See this image and copyright information in PMC

References

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