A Case of Successfully Implanted Dual Chamber Pacemaker in a Young Patient with Dextrocardia and Sick Sinus Syndrome
Dextrocardia is a rare congenital anomaly, whereas its association with sick sinus syndrome in young adults without accompanying heart abnormalities is exceptional. We report a case of a 38 year old female patient who was admitted to our hospital due to syncope as a consequence of sinus pauses up to...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
| Published: |
SAGE Publishing
2021-07-01
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| Series: | Clinical Medicine Insights: Case Reports |
| Online Access: | https://doi.org/10.1177/11795476211017733 |
| _version_ | 1818907533199278080 |
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| author | Aurora Bakalli Imri Jashari Xhevdet Krasniqi Lidvana Spahiu |
| author_facet | Aurora Bakalli Imri Jashari Xhevdet Krasniqi Lidvana Spahiu |
| author_sort | Aurora Bakalli |
| collection | DOAJ |
| description | Dextrocardia is a rare congenital anomaly, whereas its association with sick sinus syndrome in young adults without accompanying heart abnormalities is exceptional. We report a case of a 38 year old female patient who was admitted to our hospital due to syncope as a consequence of sinus pauses up to 4.9 seconds. She was also diagnosed with situs inversus totalis, with mirror image dextrocardia. Pacemaker implantation was indicated. Under local anesthesia, from the left subclavian vein, the guide wire was passed through superior vena cava to the right atrium and ventricle without any obstacles. In conclusion, situs inversus totalis with mirror image dextrocardia may present in combination with sick sinus syndrome as early as the fourth decade of life. Implantation of pacemaker leads from the left subclavian vein appears accessible and safe in patients with dextrocardia with situs inversus (mirror image). |
| first_indexed | 2024-12-19T21:56:38Z |
| format | Article |
| id | doaj.art-72e2f534103848148e07b68f30c1cf61 |
| institution | Directory Open Access Journal |
| issn | 1179-5476 |
| language | English |
| last_indexed | 2024-12-19T21:56:38Z |
| publishDate | 2021-07-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Clinical Medicine Insights: Case Reports |
| spelling | doaj.art-72e2f534103848148e07b68f30c1cf612022-12-21T20:04:16ZengSAGE PublishingClinical Medicine Insights: Case Reports1179-54762021-07-011410.1177/11795476211017733A Case of Successfully Implanted Dual Chamber Pacemaker in a Young Patient with Dextrocardia and Sick Sinus SyndromeAurora Bakalli0Imri Jashari1Xhevdet Krasniqi2Lidvana Spahiu3Clinic of Invasive Cardiology and Cardiosurgery, University Clinical Center of Kosova and Medical Faculty, University of Prishtina, Pristina, KosovoClinic of Cardiology, University Clinical Center of Kosova, Pristina, KosovoClinic of Invasive Cardiology and Cardiosurgery, University Clinical Center of Kosova and Medical Faculty, University of Prishtina, Pristina, KosovoPediatric Clinic, University Clinical Center of Kosova and Medical Faculty, University of Prishtina, Rr.Nëna Tereza pn, 10000 Pristina, KosovoDextrocardia is a rare congenital anomaly, whereas its association with sick sinus syndrome in young adults without accompanying heart abnormalities is exceptional. We report a case of a 38 year old female patient who was admitted to our hospital due to syncope as a consequence of sinus pauses up to 4.9 seconds. She was also diagnosed with situs inversus totalis, with mirror image dextrocardia. Pacemaker implantation was indicated. Under local anesthesia, from the left subclavian vein, the guide wire was passed through superior vena cava to the right atrium and ventricle without any obstacles. In conclusion, situs inversus totalis with mirror image dextrocardia may present in combination with sick sinus syndrome as early as the fourth decade of life. Implantation of pacemaker leads from the left subclavian vein appears accessible and safe in patients with dextrocardia with situs inversus (mirror image).https://doi.org/10.1177/11795476211017733 |
| spellingShingle | Aurora Bakalli Imri Jashari Xhevdet Krasniqi Lidvana Spahiu A Case of Successfully Implanted Dual Chamber Pacemaker in a Young Patient with Dextrocardia and Sick Sinus Syndrome Clinical Medicine Insights: Case Reports |
| title | A Case of Successfully Implanted Dual Chamber Pacemaker in a Young Patient with Dextrocardia and Sick Sinus Syndrome |
| title_full | A Case of Successfully Implanted Dual Chamber Pacemaker in a Young Patient with Dextrocardia and Sick Sinus Syndrome |
| title_fullStr | A Case of Successfully Implanted Dual Chamber Pacemaker in a Young Patient with Dextrocardia and Sick Sinus Syndrome |
| title_full_unstemmed | A Case of Successfully Implanted Dual Chamber Pacemaker in a Young Patient with Dextrocardia and Sick Sinus Syndrome |
| title_short | A Case of Successfully Implanted Dual Chamber Pacemaker in a Young Patient with Dextrocardia and Sick Sinus Syndrome |
| title_sort | case of successfully implanted dual chamber pacemaker in a young patient with dextrocardia and sick sinus syndrome |
| url | https://doi.org/10.1177/11795476211017733 |
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