Transvenous permanent pacemaker implantation in dextrocardia

Technique, challenges, outcome, and a brief review of literature

Jayaprakash Shenthar, Maneesh K. Rai, Rohit Walia, Somasekhar Ghanta, Praveen Sreekumar, Satish S. Reddy

Research output: Contribution to journalArticle

4 Citations (Scopus)

Abstract

Aims: Dextrocardia is a rare congenital anomaly. Pacemaker implantation in dextrocardia can be challenging because of the distorted anatomy and associated anomalies. The literature regarding implantation of pacemaker in dextrocardia is scarce. Methods and results: The study involved retrospective analysis of records of patients with dextrocardia who had undergone pacemaker implantation between January 2006 and July 2013 from a single centre. Six patients with dextrocardia (five males and one female) underwent permanent pacemaker implantation (PPI) between January 2006 and July 2013. Of them, three had situs solitus dextrocardia and three situs inversus dextrocardia. All three patients with situs solitus dextrocardia had associated corrected transposition of great arteries. The indication for pacemaker implantation was symptomatic complete atrioventricular (AV) block in four, high-grade AV block in one, and sinus node dysfunction in one patient. A favourable outcome was noted during a mean follow-up of 3.9 years (4 months to 7 years) with one patient needing a pulse generator replacement. Conclusion: Permanent pacemaker implantation in dextrocardia can be challenging because of the distorted anatomy. Use of a technique employing angiography to delineate chamber anatomy and relationship can assist the operator during such difficult PPIs. The medium- and long-term survival after a successful pacemaker implantation in dextrocardia is favourable. Published on behalf of the European Society of Cardiology. All rights reserved.

Original languageEnglish
Pages (from-to)1327-1333
Number of pages7
JournalEuropace
Volume16
Issue number9
DOIs
Publication statusPublished - 01-01-2014

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Dextrocardia
Anatomy
Atrioventricular Block
Situs Inversus
Sick Sinus Syndrome
Transposition of Great Vessels
Angiography
Retrospective Studies

All Science Journal Classification (ASJC) codes

  • Cardiology and Cardiovascular Medicine
  • Physiology (medical)

Cite this

Shenthar, Jayaprakash ; Rai, Maneesh K. ; Walia, Rohit ; Ghanta, Somasekhar ; Sreekumar, Praveen ; Reddy, Satish S. / Transvenous permanent pacemaker implantation in dextrocardia : Technique, challenges, outcome, and a brief review of literature. In: Europace. 2014 ; Vol. 16, No. 9. pp. 1327-1333.
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Transvenous permanent pacemaker implantation in dextrocardia : Technique, challenges, outcome, and a brief review of literature. / Shenthar, Jayaprakash; Rai, Maneesh K.; Walia, Rohit; Ghanta, Somasekhar; Sreekumar, Praveen; Reddy, Satish S.

In: Europace, Vol. 16, No. 9, 01.01.2014, p. 1327-1333.

Research output: Contribution to journalArticle

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AU - Shenthar, Jayaprakash

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AU - Ghanta, Somasekhar

AU - Sreekumar, Praveen

AU - Reddy, Satish S.

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N2 - Aims: Dextrocardia is a rare congenital anomaly. Pacemaker implantation in dextrocardia can be challenging because of the distorted anatomy and associated anomalies. The literature regarding implantation of pacemaker in dextrocardia is scarce. Methods and results: The study involved retrospective analysis of records of patients with dextrocardia who had undergone pacemaker implantation between January 2006 and July 2013 from a single centre. Six patients with dextrocardia (five males and one female) underwent permanent pacemaker implantation (PPI) between January 2006 and July 2013. Of them, three had situs solitus dextrocardia and three situs inversus dextrocardia. All three patients with situs solitus dextrocardia had associated corrected transposition of great arteries. The indication for pacemaker implantation was symptomatic complete atrioventricular (AV) block in four, high-grade AV block in one, and sinus node dysfunction in one patient. A favourable outcome was noted during a mean follow-up of 3.9 years (4 months to 7 years) with one patient needing a pulse generator replacement. Conclusion: Permanent pacemaker implantation in dextrocardia can be challenging because of the distorted anatomy. Use of a technique employing angiography to delineate chamber anatomy and relationship can assist the operator during such difficult PPIs. The medium- and long-term survival after a successful pacemaker implantation in dextrocardia is favourable. Published on behalf of the European Society of Cardiology. All rights reserved.

AB - Aims: Dextrocardia is a rare congenital anomaly. Pacemaker implantation in dextrocardia can be challenging because of the distorted anatomy and associated anomalies. The literature regarding implantation of pacemaker in dextrocardia is scarce. Methods and results: The study involved retrospective analysis of records of patients with dextrocardia who had undergone pacemaker implantation between January 2006 and July 2013 from a single centre. Six patients with dextrocardia (five males and one female) underwent permanent pacemaker implantation (PPI) between January 2006 and July 2013. Of them, three had situs solitus dextrocardia and three situs inversus dextrocardia. All three patients with situs solitus dextrocardia had associated corrected transposition of great arteries. The indication for pacemaker implantation was symptomatic complete atrioventricular (AV) block in four, high-grade AV block in one, and sinus node dysfunction in one patient. A favourable outcome was noted during a mean follow-up of 3.9 years (4 months to 7 years) with one patient needing a pulse generator replacement. Conclusion: Permanent pacemaker implantation in dextrocardia can be challenging because of the distorted anatomy. Use of a technique employing angiography to delineate chamber anatomy and relationship can assist the operator during such difficult PPIs. The medium- and long-term survival after a successful pacemaker implantation in dextrocardia is favourable. Published on behalf of the European Society of Cardiology. All rights reserved.

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