Left atrial appendage occlusion and radiofrequency ablation in a patient with atrial fibrillation and dextrocardia: a case report
BackgroundDextrocardia is a rare congenital condition, affecting approximately 1 in 10,000–12,000 individuals. When combined with atrial fibrillation (AF), it becomes even rarer. “One-stop” surgery, including combined radiofrequency ablation (RFA) and left atrial appendage occlusion (LAAO), has beco...
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Frontiers Media S.A.
2025-01-01
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| Series: | Frontiers in Cardiovascular Medicine |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fcvm.2024.1525387/full |
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| author | Zengfu Zhang Xiaohong Fu Min Guo Jia Gao Rui Wang |
| author_facet | Zengfu Zhang Xiaohong Fu Min Guo Jia Gao Rui Wang |
| author_sort | Zengfu Zhang |
| collection | DOAJ |
| description | BackgroundDextrocardia is a rare congenital condition, affecting approximately 1 in 10,000–12,000 individuals. When combined with atrial fibrillation (AF), it becomes even rarer. “One-stop” surgery, including combined radiofrequency ablation (RFA) and left atrial appendage occlusion (LAAO), has become a common clinical treatment for patients with AF who develop cerebral infarction despite regular oral anticoagulants. To date, no cases have been reported of patients with AF and dextrocardia undergoing the “one-stop” procedure, making this surgery particularly challenging.Case presentationAn 85-year-old dextrocardia male with total visceral inversion and persistent AF developed cerebral infarction despite regular oral anticoagulation therapy. He was referred to our hospital for RFA of AF and LAAO. The procedure was successfully performed using a three-dimensional electroanatomical mapping system (Carto3, Biosense Webster, Diamond Bar, CA, USA), intracardiac echocardiography (ICE), and x-ray, with no complications.ConclusionThis is the first reported case of a “one-stop” surgery for dextrocardia with AF. This procedure is safe and feasible with the assistance of advanced technologies such as ICE and the VIZIGO bidirectional adjustable bent sheath. |
| format | Article |
| id | doaj-art-b5ec9a6deb4049f48ad8627bd16cd7e1 |
| institution | Kabale University |
| issn | 2297-055X |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Cardiovascular Medicine |
| spelling | doaj-art-b5ec9a6deb4049f48ad8627bd16cd7e12025-01-15T14:25:13ZengFrontiers Media S.A.Frontiers in Cardiovascular Medicine2297-055X2025-01-011110.3389/fcvm.2024.15253871525387Left atrial appendage occlusion and radiofrequency ablation in a patient with atrial fibrillation and dextrocardia: a case reportZengfu Zhang0Xiaohong Fu1Min Guo2Jia Gao3Rui Wang4The First Clinical Medical College of Shanxi Medical University, Taiyuan, Shanxi, ChinaThe First Clinical Medical College of Shanxi Medical University, Taiyuan, Shanxi, ChinaDepartment of Cardiology, First Hospital of Shanxi Medical University, Taiyuan, Shanxi, ChinaDepartment of Cardiology, First Hospital of Shanxi Medical University, Taiyuan, Shanxi, ChinaDepartment of Cardiology, First Hospital of Shanxi Medical University, Taiyuan, Shanxi, ChinaBackgroundDextrocardia is a rare congenital condition, affecting approximately 1 in 10,000–12,000 individuals. When combined with atrial fibrillation (AF), it becomes even rarer. “One-stop” surgery, including combined radiofrequency ablation (RFA) and left atrial appendage occlusion (LAAO), has become a common clinical treatment for patients with AF who develop cerebral infarction despite regular oral anticoagulants. To date, no cases have been reported of patients with AF and dextrocardia undergoing the “one-stop” procedure, making this surgery particularly challenging.Case presentationAn 85-year-old dextrocardia male with total visceral inversion and persistent AF developed cerebral infarction despite regular oral anticoagulation therapy. He was referred to our hospital for RFA of AF and LAAO. The procedure was successfully performed using a three-dimensional electroanatomical mapping system (Carto3, Biosense Webster, Diamond Bar, CA, USA), intracardiac echocardiography (ICE), and x-ray, with no complications.ConclusionThis is the first reported case of a “one-stop” surgery for dextrocardia with AF. This procedure is safe and feasible with the assistance of advanced technologies such as ICE and the VIZIGO bidirectional adjustable bent sheath.https://www.frontiersin.org/articles/10.3389/fcvm.2024.1525387/fulldextrocardiaatrial fibrillationleft atrial appendage occlusionradiofrequency ablationintracardiac echocardiography |
| spellingShingle | Zengfu Zhang Xiaohong Fu Min Guo Jia Gao Rui Wang Left atrial appendage occlusion and radiofrequency ablation in a patient with atrial fibrillation and dextrocardia: a case report Frontiers in Cardiovascular Medicine dextrocardia atrial fibrillation left atrial appendage occlusion radiofrequency ablation intracardiac echocardiography |
| title | Left atrial appendage occlusion and radiofrequency ablation in a patient with atrial fibrillation and dextrocardia: a case report |
| title_full | Left atrial appendage occlusion and radiofrequency ablation in a patient with atrial fibrillation and dextrocardia: a case report |
| title_fullStr | Left atrial appendage occlusion and radiofrequency ablation in a patient with atrial fibrillation and dextrocardia: a case report |
| title_full_unstemmed | Left atrial appendage occlusion and radiofrequency ablation in a patient with atrial fibrillation and dextrocardia: a case report |
| title_short | Left atrial appendage occlusion and radiofrequency ablation in a patient with atrial fibrillation and dextrocardia: a case report |
| title_sort | left atrial appendage occlusion and radiofrequency ablation in a patient with atrial fibrillation and dextrocardia a case report |
| topic | dextrocardia atrial fibrillation left atrial appendage occlusion radiofrequency ablation intracardiac echocardiography |
| url | https://www.frontiersin.org/articles/10.3389/fcvm.2024.1525387/full |
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