Pacemaker Implantation in a Rare Case of Situs Inversus Dextrocardia Using PRSVC Approach and Its Challenges
ALZEER ISLAM, HILAL SAFAE, FELLAT IBTISSAM, Cherti Mohamed
Asian Journal of Cardiology Research · pp. 662–667 · Published 13 Oct 2025
10.9734/ajcr/2025/v8i1325Abstract
Situs inversus dextrocardia is a rare congenital anomaly that can complicate medical procedures, including the implantation of a dual-chamber pacemaker (PM). This case report describes the challenges encountered during pacemaker implantation in a patient with situs inversus dextrocardia and a complex venous anatomy, including a persistent right superior vena cava (RSVC) draining directly into the coronary sinus (CS) and a left-sided venous drainage with multiple turbulences. Despite the anatomical challenges, the procedure was successful, with pacemaker leads successfully placed in the left-sided right ventricle. This case highlights the importance of thorough preoperative assessment and understanding of venous variations in patients with situs inversus dextrocardia.
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