A 51-year old woman was treated for atrial fibrillation. A chest X-ray showed dextrocardia. Transthoracic echocardiography revealed a congenitally corrected transposition of the great arteries. Multidetector64 computerized tomography scan imaging confirmed the diagnosis (Fig. 1) and, additionally, showed a persistent left superior vena cava and a partial anomalous pulmonary venous connection (F...

Right atrial appendage aneurysm (RAAA) is rarely encountered with variable intracardiac anatomy. We report a case of asymptomatic RAAA in a patient with dextrocardia and anomalous origin of RCA from left coronary sinus which was treated successfully by CABG and the aneurysm was completely excised.

Dextrocardia with situs inversus totalis is a rare disorder but is frequently associated with anomalous venous return. Pacemaker/Internal Cardioverter Defibrillator implantation in this population can be difficult given the difficult venous anatomy. This case illustrates how beforehand knowledge of the venous anatomy by cardiac MRI can facilitate device implantation.

Kartageners syndrome, an autosomal recessive disorder is a combination of dextrocardia situs inversus, bronchiectasis and sinusitis. We report a 22-year-old woman with this syndrome scheduled for appendectomy. Spinal anesthesia was preferred for the patient with this rare disorder due to the relative advantages of the regional technique over general anesthesia.

Radiofrequency catheter ablation of the slow pathway is considered to be the treatment of choice for patients with atrioventricular nodal reentrant tachycardia. We report a 34-year-old female with mirror image dextrocardia due to unilateral pulmonary agenesis who underwent successful slow pathway ablation for typical atrioventricular nodal reentrant tachycardia. Using contrast injection, cardia...

Cardiac resynchronization therapy in patients with congenital heart disease can be technically challenging. We report a case of upgrade of an implantable cardioverter defibrillator to a resynchronization device, in a patient with dextrocardia and situs inversus. The procedure was successfully performed without complication, using a conventional approach and standard equipment.