Implant of a Biventricular Pacemaker in a Patient with Dextrocardia and Persistent Left Superior Vena Cava

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Congenital anomalies of the heart can pose challenges to cardiac invasive procedures. Here, we present the case of a 40-year-old man with the combination of dextrocardia, a persistent left superior vena cava, and idiopathic dilated cardiomyopathy. We describe the successful implantation of a biventricular pacemaker–defibrillator under this complex anatomic condition.

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