{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T23:18:18Z","timestamp":1787008698607,"version":"build-2736575974"},"reference-count":14,"publisher":"Oxford University Press (OUP)","issue":"11","license":[{"start":{"date-parts":[[2025,10,31]],"date-time":"2025-10-31T00:00:00Z","timestamp":1761868800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,10,31]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Situs viscerum inversus with dextrocardia and interrupted inferior vena cava (I-IVC) are rare congenital diseases that might challenge interventional procedures, such as transcatheter ablation for atrial fibrillation (AF), when transseptal puncture (TSP) is required for left atrial access. Recently, one-shot pulsed field ablation (PFA) has emerged as a safe and effective energy modality for AF ablation. We present a case report on jugular TSP guiding one-shot PFA in a patient presenting dextrocardia and an I-IVC, addressing the unique anatomical challenges.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Case summary<\/jats:title>\n                    <jats:p>A 52-year-old male with situs viscerum inversus with dextrocardia and I-IVC presented to our institution with symptomatic paroxysmal AF. Pre-procedural evaluation included transthoracic echocardiography and cardiac magnetic resonance (CMR) imaging. The PFA procedure was successfully performed under general anaesthesia guided by transoesophageal echocardiography (TOE), fluoroscopy, electroanatomical mapping and merging with CMR imaging. A transjugular TSP was specifically employed for vascular access due to the complex anatomy, allowing for efficient left atrial access and delivery of the ablation therapy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>Our case report highlights the role of multimodality pre-procedural imaging and the necessity of adapting procedural techniques, such as jugular TSP, to safely and effectively perform AF ablation in patients with complex congenital anatomy, as dextrocardia with I-IVC. The use of one-shot variable loop PFA catheter in such a challenging anatomical scenario allows an effective and safe treatment for transcatheter AF ablation in this case.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/ehjcr\/ytaf577","type":"journal-article","created":{"date-parts":[[2025,10,30]],"date-time":"2025-10-30T13:12:16Z","timestamp":1761829936000},"source":"Crossref","is-referenced-by-count":2,"title":["Pulsed field ablation of atrial fibrillation via jugular transseptal puncture in a patient with dextrocardia and interrupted inferior vena cava: a case report"],"prefix":"10.1093","volume":"9","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7550-5463","authenticated-orcid":false,"given":"Marco","family":"Scaglione","sequence":"first","affiliation":[{"name":"Electrophysiology Laboratory, SC Cardiologia, Cardinal Massaia Hospital , Corso Dante Alighieri 202, 14100 Asti ,","place":["Italy"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7980-1737","authenticated-orcid":false,"given":"Enrico Guido","family":"Spinoni","sequence":"additional","affiliation":[{"name":"Electrophysiology Laboratory, SC Cardiologia, Cardinal Massaia Hospital , Corso Dante Alighieri 202, 14100 Asti ,","place":["Italy"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-0021-3053","authenticated-orcid":false,"given":"Francesco","family":"Geuna","sequence":"additional","affiliation":[{"name":"Electrophysiology Laboratory, SC Cardiologia, Cardinal Massaia Hospital , Corso Dante Alighieri 202, 14100 Asti ,","place":["Italy"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrea","family":"Lamanna","sequence":"additional","affiliation":[{"name":"Johnson & Johnson MEDICAL S.p.A., Via del Mare 56, 0071 Pomezia ,","place":["Italy"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alberto","family":"Battaglia","sequence":"additional","affiliation":[{"name":"Electrophysiology Laboratory, SC Cardiologia, Cardinal Massaia Hospital , Corso Dante Alighieri 202, 14100 Asti ,","place":["Italy"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2025,10,31]]},"reference":[{"key":"2025111813173888800_ytaf577-B1","doi-asserted-by":"crossref","first-page":"305","DOI":"10.1016\/j.amjcard.2007.02.095","article-title":"A population-based study of cardiac malformations and outcomes associated with dextrocardia","volume":"100","author":"Bohun","year":"2007","journal-title":"Am J Cardiol"},{"key":"2025111813173888800_ytaf577-B2","doi-asserted-by":"crossref","first-page":"75","DOI":"10.1111\/j.1742-1241.1999.tb11665.x","article-title":"Deep vein thrombosis as a presenting symptom of congenital interruption of the inferior vena cava","volume":"53","author":"Timmers","year":"1999","journal-title":"Int J Clin Pract"},{"key":"2025111813173888800_ytaf577-B3","doi-asserted-by":"crossref","first-page":"1660","DOI":"10.1056\/NEJMoa2307291","article-title":"ADVENT investigators. 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