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“Wolf in sheep’s clothing or Sheep in wolf’s clothing” - An unusual form of preexcitation by Vrandha Garikapati; Krishna Kumar Mohanan is a Medicine article available to read on EtoBox.

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anatomy using imaging techniques is required. Fluoroscopy times during permanent pacemaker implantation in dextrocardia are also expected to be higher. It may be helpful to invert the fluoroscopic image to minimize fluoroscopy times. Conclusion: Situs inversus dextrocardia with atrioventricular block is a rare clinical scenario. The challenges of permanent pacemaker implantation in these patients include complex anatomy, increased radiation exposure and increased procedural time. The use of angiography and inverting the fluoroscopic image left-to-right to simulate normal anatomy can assist the operator to some extent. However, there is a need for better and safer techniques to facilitate cardiac device implantation in patients with dextrocardia.

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Author

Vrandha Garikapati; Krishna Kumar Mohanan

Publisher

Elsevier BV

Published

2022

Language

EN

Field

Medicine (Health Sciences)