{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T08:08:25Z","timestamp":1753862905646,"version":"3.41.2"},"reference-count":6,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2023,6,17]],"date-time":"2023-06-17T00:00:00Z","timestamp":1686960000000},"content-version":"vor","delay-in-days":16,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clinical Case Reports"],"published-print":{"date-parts":[[2023,6]]},"abstract":"<jats:sec><jats:title>Key Clinical Message<\/jats:title><jats:p>A 26\u2010year\u2010old male patient admitted to the hospital ward with experience of repetitive syncopes for a year. The patient was diagnosed with sick sinus syndrome. The aim of this clinical report is to highlight the variability of anatomical findings associated with polysplenia pattern.<\/jats:p><\/jats:sec><jats:sec><jats:title>Abstract<\/jats:title><jats:p>This case report presents a 26\u2010year\u2010old male patient who presented to the medical ward with a complaint of repeating blackouts for a year. The patient was then diagnosed with sick sinus syndrome, and further investigations revealed left isomerism, polysplenia, and no congenital heart defects. Holter monitoring, ultrasonography, electrocardiography, and computed tomography were used to confirm the diagnosis. The patient underwent DDDR pacemaker implantation for the treatment of SA node dysfunction. The report highlights the variability of anatomical findings associated with polysplenia pattern and the various types of heartbeat disruptions that may occur in the atrial appendages of the left side isomerism.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ccr3.7511","type":"journal-article","created":{"date-parts":[[2023,6,17]],"date-time":"2023-06-17T07:28:49Z","timestamp":1686986929000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Heterotaxy pattern associated with sinus node dysfunction in an adult: A case report"],"prefix":"10.1002","volume":"11","author":[{"given":"Naman","family":"Shah","sequence":"first","affiliation":[{"name":"GMERS Medical College Sola  Ahmedabad India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sankalp","family":"Acharya","sequence":"additional","affiliation":[{"name":"B. J. Medical College  Ahmedabad India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Apoorva","family":"Tripathi","sequence":"additional","affiliation":[{"name":"B. J. Medical College  Ahmedabad India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Himanshi","family":"Bisht","sequence":"additional","affiliation":[{"name":"B. J. Medical College  Ahmedabad India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maitri","family":"Shah","sequence":"additional","affiliation":[{"name":"GMERS Medical College Sola  Ahmedabad India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Aayushi","family":"Pareek","sequence":"additional","affiliation":[{"name":"RHUS College of Medical Science  Jaipur Rajasthan India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Asmita","family":"Gera","sequence":"additional","affiliation":[{"name":"JCCR Cardiology Research  Varanasi India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0681-3825","authenticated-orcid":false,"given":"Abhigan Babu","family":"Shrestha","sequence":"additional","affiliation":[{"name":"M Abdur Rahim Medical College  Dinajpur Bangladesh"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2021-1660","authenticated-orcid":false,"given":"Vikash","family":"Jaiswal","sequence":"additional","affiliation":[{"name":"JCCR Cardiology Research  Varanasi India"},{"name":"Larkin Community Hospital  South Miami Florida USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2023,6,17]]},"reference":[{"key":"e_1_2_11_2_1","unstructured":"Heterotaxy syndrome.2019.https:\/\/ghr.nlm.nih.gov\/condition\/heterotaxy\u2010syndrome"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1007\/s002619900471"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.7863\/jum.2005.24.7.921"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.2169\/internalmedicine.54.3354"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9149(90)90090-N"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1038\/sj.ejhg.5201506"}],"container-title":["Clinical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ccr3.7511","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,8,20]],"date-time":"2023-08-20T16:01:58Z","timestamp":1692547318000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/ccr3.7511"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,6]]},"references-count":6,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2023,6]]}},"alternative-id":["10.1002\/ccr3.7511"],"URL":"https:\/\/doi.org\/10.1002\/ccr3.7511","archive":["Portico"],"relation":{},"ISSN":["2050-0904","2050-0904"],"issn-type":[{"type":"print","value":"2050-0904"},{"type":"electronic","value":"2050-0904"}],"subject":[],"published":{"date-parts":[[2023,6]]},"assertion":[{"value":"2023-04-08","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-05-29","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-06-17","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e7511"}}