PDF(Pubmed)
Abstract：
We present an unusual case of a geriatric patient with right-sided cardiac displacement and rotation (Pseudo-Dextrocardia) secondary to radiation-induced pulmonary fibrosis (RIPF) after radiation for carcinoma of the right breast. This patient with heart failure with reduced ejection fraction (HFrEF) underwent cardiac resynchronization therapy with a defibrillator (CRT-D) for primary prevention of sudden cardiac death. Cannulization of the coronary sinus ostium was difficult, likely due to the significant cardiac displacement. However, after multiple attempts, it was eventually successful. The clinical manifestations, evaluation, and technical and procedural issues in this patient with an unusual anatomic variant are summarized.
摘要：
我们介绍了一例罕见的老年患者，该患者在右乳腺癌放疗后继发于放射性肺纤维化（RIPF），患有右侧心脏移位和旋转（假性右心）。这位射血分数降低（HFrEF）的心力衰竭患者接受了除颤器（CRT-D）的心脏再同步治疗，以预防心脏猝死。冠状窦口的插管很困难，可能是由于明显的心脏移位。然而,经过多次尝试，它最终成功了。临床表现,评估，总结了该例具有异常解剖变异的患者的技术和程序问题。
