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Implantation of a dual-chamber pacemaker in a patient with situs inversus and dextrocardia using a novel ultrasound technique

Augusto, J; Faustino, M; Santos, M; Cabanelas, N; Madeira, F; Morais, C; (2019) Implantation of a dual-chamber pacemaker in a patient with situs inversus and dextrocardia using a novel ultrasound technique. Journal of Cardiovascular Echography , 29 (3) pp. 129-131. 10.4103/jcecho.jcecho_29_19. Green open access

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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.

Type: Article
Title: Implantation of a dual-chamber pacemaker in a patient with situs inversus and dextrocardia using a novel ultrasound technique
Open access status: An open access version is available from UCL Discovery
DOI: 10.4103/jcecho.jcecho_29_19
Publisher version: https://doi.org/10.4103/jcecho.jcecho_29_19
Language: English
Additional information: This version is the author accepted manuscript. For information on re-use, please refer to the publisher’s terms and conditions.
Keywords: Bubble contrast, congenital cardiac disease, dextrocardia, pacemaker implantation, vascular ultrasound
UCL classification: UCL
UCL > Provost and Vice Provost Offices
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Institute of Cardiovascular Science
URI: https://discovery.ucl.ac.uk/id/eprint/10089253
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