Pulmonary Vein Isolation and Pacemaker Implantation in a Patient with Dextrocardia Situs Inversus

A 70-year-old female with dextrocardia with situs inversus (DSI) totalis and inferior vena cava occlusion underwent radiofrequency catheter ablation because she had symptomatic paroxysmal atrial fibrillation (AF). Careful preoperative examination made successful pulmonary vein isolation through the left jugular vein approach. One-year later, however, AF recurred, and symptomatic sinus bradycardia or junctional bradycardia often occurred. Then, the pacemaker was implanted. We here reported a rare case of congenital abnormality, DSI with inferior vena cava occlusion who had undergone successful pulmonary vein isolation and pacemaker implantation without any complications.

Automated summary

A 70-year-old female with DSI and inferior vena cava occlusion underwent successful pulmonary vein isolation for symptomatic AF, but experienced recurrence of AF and symptomatic bradycardia, leading to the implantation of a pacemaker. This case presents a rare congenital abnormality managed with these interventions without complications.