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Genetic and Rare Diseases Information Center (GARD)

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Dextrocardia


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Your Question

Is there any case where a pacemaker has been placed in a dextrocardia patient?  I have a problem with my heartbeat going too fast or too slow.  However, being a dextrocardia patient, I wonder if a pacemaker can be put in my heart and how it would be inserted, as my heart is on right side.

Our Answer

We have identified the following information that we hope you find helpful. If you still have questions, please contact us.

Can a pacemaker be placed in a person who has dextrocardia?

There have been several reports of the successful placement of a pacemaker in individuals with dextrocardia.[1][2][3]  It has been suggested that standard surgical techniques may be used,[1] though careful imaging of the heart is encouraged due to the unusual anatomy.[1][3]
Last updated: 8/3/2011

References
  • Bindra PS, Lin D, Brozena S, Marchlinski F, Dixit S. Case report: Placement of a coronary sinus lead in a patient with dextrocardia and situs inversus. Journal of Interventional Cardiac Electrophysiology. 2006; 16:93-95. http://www.ncbi.nlm.nih.gov/pubmed?term=17120153. Accessed 7/29/2011.
  • Brito MR, Miranda CE, Barros VC, Castro LR, Borges MH. Heart block in dextrocardia and situs inversus: a case report. Annals of Noninvasive Electrocardiology. 2001; 6:369-372. http://www.ncbi.nlm.nih.gov/pubmed/11686917. Accessed 7/29/2011.
  • Goyal SL, Lichestein E, Gupta PK, Chadda KD, Lajam F. Sick sinus syndrome requiring permanent pacemaker implantation in a patient with mirror-image dextrocardia. Chest. 1976; 69:558-561. http://www.ncbi.nlm.nih.gov/pubmed/1261330. Accessed 7/29/2011.