Beyond a mirror-image procedure: a case report of leadless pacemaker implantation in dextrocardia with situs inversus
This case highlights how the pre-shaped curvature of the Micra delivery catheter introduces procedural complexity beyond a simple mirror-image manipulation. Additional counterclockwise torque is often required to achieve septal positioning. Comprehensive pre-procedural imaging and an understanding of the device-specific characteristics are essential for successful LP implantation in these anatomically reversed cases.
Authors
- Nobuaki Tanaka (ORCID: https://orcid.org/0000-0002-8324-1728)
- Yasushi Koyama (ORCID: https://orcid.org/0000-0003-2380-184X)
- Yuki Masuda
- Kohei Iwasa (ORCID: https://orcid.org/0000-0001-7766-6896)
- Masato Okada (ORCID: https://orcid.org/0000-0002-3190-7313)
Institutions
- Sakurabashi Watanabe Hospital (JP)
Publication Details
- Journal
- European Heart Journal - Case Reports
- Published
- 2025-12-20
- DOI
- https://doi.org/10.1093/ehjcr/ytaf674
- Primary Topic
- Congenital Heart Disease Studies
- Type
- article
- Field-Weighted Citation Impact
- 0.00