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CASE REPORT article

Front. Cardiovasc. Med.
Sec. Cardiac Rhythmology
Volume 11 - 2024 | doi: 10.3389/fcvm.2024.1525387
This article is part of the Research Topic Case Reports in Cardiac Rhythmology: 2024 View all 9 articles

Left atrial appendage occlusion and radiofrequency ablation in a patient with atrial fibrillation and dextrocardia: a case report

Provisionally accepted
Zengfu Zhang Zengfu Zhang Xiaohong Fu Xiaohong Fu Min Guo Min Guo Jia Gao Jia Gao *Rui Wang Rui Wang *
  • Shanxi Medical University, Taiyuan, China

The final, formatted version of the article will be published soon.

    Dextrocardia is a rare congenital condition, affecting approximately 1 in 10,000 to 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.An 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 threedimensional electroanatomical mapping system (Carto3, Biosense Webster, Diamond Bar, CA, USA), intracardiac echocardiography (ICE), and X-ray, with no complications.This 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.

    Keywords: Dextrocardia, Atrial Fibrillation, Left atrial appendage occlusion, Radiofrequency ablation, Intracardiac echocardiography

    Received: 09 Nov 2024; Accepted: 30 Dec 2024.

    Copyright: © 2024 Zhang, Fu, Guo, Gao and Wang. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

    * Correspondence:
    Jia Gao, Shanxi Medical University, Taiyuan, China
    Rui Wang, Shanxi Medical University, Taiyuan, China

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