{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,26]],"date-time":"2026-03-26T12:10:35Z","timestamp":1774527035939,"version":"3.50.1"},"reference-count":14,"publisher":"Oxford University Press (OUP)","issue":"3","license":[{"start":{"date-parts":[[2026,3,10]],"date-time":"2026-03-10T00:00:00Z","timestamp":1773100800000},"content-version":"vor","delay-in-days":9,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,3,2]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Cardiac resynchronisation therapy pacemaker (CRT-P) placement and coronary sinus cannulation (CSC) are notably challenging in dextrocardia (DXC).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Case summary<\/jats:title>\n                    <jats:p>A 56-year-old female with a diagnosis of DXC, sick sinus syndrome (SSS), paroxysmal atrial fibrillation (pAF), and heart failure reduced ejection fraction (HFrEF) presented for symptoms with exertion. Electrocardiogram (ECG) showed prolonged QRS necessitating CRT-P and CSC with right sided multipolar catheter and a bipolar lead. Postoperatively, there was improvement in QRS, EF, and symptoms.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>CRT-P and CSC techniques in levocardia are well established. DXC requires unconventional CRT-P strategies. A right-sided multipolar catheter is valuable for CSC in DXC. This DXC case utilized a right-sided electrophysiology catheter and a bipolar coronary sinus (CS) lead. The use of these devices ensured that if the prior right ventricular (RV) ICD lead failed, a standard high S1 lead would be compatible with pacemaker headers.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Take Home Message<\/jats:title>\n                    <jats:p>A right-sided CSC system is useful for implanting CS leads with a left-sided device in DXC. While it comes at the expense of losing different pacing vectors, a bipolar CS lead is essential if there is a risk that the pre-existing bipolar RV lead will fail.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/ehjcr\/ytag167","type":"journal-article","created":{"date-parts":[[2026,3,7]],"date-time":"2026-03-07T12:44:26Z","timestamp":1772887466000},"source":"Crossref","is-referenced-by-count":0,"title":["Cardiac resynchronisation therapy in dextrocardia with situs Inversus totalis: a case report of strategies and outcomes in bipolar lead-based devices"],"prefix":"10.1093","volume":"10","author":[{"ORCID":"https:\/\/orcid.org\/0009-0001-3226-7098","authenticated-orcid":false,"given":"Sujoy","family":"Khasnavis","sequence":"first","affiliation":[{"name":"Internal Medicine, Jacobi North Central Bronx Hospital , 3424 Kossuth Avenue, Bronx, NY 10467 ,","place":["USA"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Samer","family":"Saouma","sequence":"additional","affiliation":[{"name":"Cardiology, Montefiore Medical Center , 111 East 210th St, Bronx, NY 10467 ,","place":["USA"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael","family":"Grushko","sequence":"additional","affiliation":[{"name":"Internal Medicine, Jacobi North Central Bronx Hospital , 3424 Kossuth Avenue, Bronx, NY 10467 ,","place":["USA"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jay","family":"Gross","sequence":"additional","affiliation":[{"name":"Cardiology, Montefiore Medical Center , 111 East 210th St, Bronx, NY 10467 ,","place":["USA"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2026,3,10]]},"reference":[{"key":"2026032607082541300_ytag167-B1","doi-asserted-by":"crossref","first-page":"4364","DOI":"10.19102\/icrm.2021.120101","article-title":"Upgrading from a dual-chamber pacemaker to a cardiac resynchronization therapy defibrillator in situs Inversus totalis with dextrocardia following mitral valve replacement and tricuspid annuloplasty using a left-sided approach","volume":"12","author":"Santoro","year":"2021","journal-title":"J Innov Card Rhythm Manag"},{"key":"2026032607082541300_ytag167-B2","first-page":"294","article-title":"Implantable cardioverter-defibrillator in a patient with dextrocardia situs inversus","volume":"7","author":"Saravi","year":"2016","journal-title":"Caspian J Intern Med"},{"key":"2026032607082541300_ytag167-B3","doi-asserted-by":"crossref","first-page":"293","DOI":"10.1111\/j.1751-7133.2009.00109.x","article-title":"Urgent biventricular implantable cardioverter defibrillator implantation in a patient with situs inversus totalis and dextrocardia","volume":"15","author":"Grayburn","year":"2009","journal-title":"Congest Heart Fail"},{"key":"2026032607082541300_ytag167-B4","doi-asserted-by":"crossref","first-page":"3084","DOI":"10.19102\/icrm.2018.090401","article-title":"Cardiac resynchronization therapy upgrade in a patient with dextrocardia and situs inversus totalis, facilitated by coronary sinus cannulation with electrophysiology catheters from both femoral and axillary venous approaches","volume":"9","author":"Motallebi","year":"2018","journal-title":"J Innov Card Rhythm Manag"},{"key":"2026032607082541300_ytag167-B5","doi-asserted-by":"crossref","first-page":"93","DOI":"10.1007\/s10840-006-9032-6","article-title":"Placement of a coronary sinus lead in a patient with dextrocardia and situs inversus","volume":"16","author":"Bindra","year":"2006","journal-title":"J Interv Card Electrophysiol"},{"key":"2026032607082541300_ytag167-B6","first-page":"58","article-title":"Implantation of a bi-ventricular pacing system in the setting of dextrocardia with situs inversus totalis","volume":"10","author":"Doshi","year":"2010","journal-title":"Indian Pacing Electrophysiol J"},{"key":"2026032607082541300_ytag167-B7","doi-asserted-by":"crossref","first-page":"1562","DOI":"10.1093\/europace\/eup255","article-title":"Cardiac resynchronization therapy upgrade in a patient with dextrocardia and situs inversus","volume":"11","author":"Scott","year":"2009","journal-title":"Europace"},{"key":"2026032607082541300_ytag167-B8","doi-asserted-by":"crossref","first-page":"656","DOI":"10.1002\/joa3.12120","article-title":"Just flip it! -CRT implantation in a patient with dextrocardia and situs inversus totalis","volume":"34","author":"Steinberg","year":"2018","journal-title":"J Arrhythm"},{"key":"2026032607082541300_ytag167-B9","doi-asserted-by":"crossref","first-page":"688","DOI":"10.1111\/pace.14819","article-title":"Situs inversus totalis: a challenge for cardiac resynchronization therapy","volume":"47","author":"Pe\u00f1aloza","year":"2024","journal-title":"Pacing Clin Electrophysiol"},{"key":"2026032607082541300_ytag167-B10","doi-asserted-by":"crossref","first-page":"ytad426","DOI":"10.1093\/ehjcr\/ytad426","article-title":"A case report of upgrading to cardiac resynchronization therapy in a patient with congenitally corrected transposition of great arteries and dextrocardia","volume":"7","author":"\u0160imka","year":"2023","journal-title":"Eur Heart J Case Rep"},{"key":"2026032607082541300_ytag167-B11","first-page":"178","article-title":"Feasibility of cardiac resynchronization therapy in a patient with complex congenital heart disease and dextrocardia, facilitated by cardiac computed tomography and coronary sinus venography","volume":"51","author":"Al Fagih","year":"2010","journal-title":"Hellenic J Cardiol"},{"key":"2026032607082541300_ytag167-B12","doi-asserted-by":"crossref","first-page":"530","DOI":"10.1093\/europace\/eun388","article-title":"Transvenous cardiac resynchronization therapy in complex congenital heart diseases: dextrocardia with transposition of the great arteries after mustard operation","volume":"11","author":"Zartner","year":"2009","journal-title":"Europace"},{"key":"2026032607082541300_ytag167-B13","doi-asserted-by":"crossref","first-page":"ytab068","DOI":"10.1093\/ehjcr\/ytab068","article-title":"Failing systemic right ventricle in a patient with dextrocardia and complex congenitally corrected transposition of the great arteries: a case report of successful transvenous cardiac resynchronization therapy","volume":"5","author":"Nederend","year":"2021","journal-title":"Eur Heart J Case Rep"},{"key":"2026032607082541300_ytag167-B14","first-page":"503","article-title":"Resynchronization therapy transvenous approach in dextrocardia and congenitally corrected transposition of great arteries","volume":"17","author":"Ma\u0142ecka","year":"2010","journal-title":"Cardiol J"}],"container-title":["European Heart Journal - Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/ehjcr\/advance-article-pdf\/doi\/10.1093\/ehjcr\/ytag167\/67289717\/ytag167.pdf","content-type":"application\/pdf","content-version":"am","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/ehjcr\/article-pdf\/10\/3\/ytag167\/67289717\/ytag167.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/ehjcr\/article-pdf\/10\/3\/ytag167\/67289717\/ytag167.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,3,26]],"date-time":"2026-03-26T11:08:35Z","timestamp":1774523315000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/ehjcr\/article\/doi\/10.1093\/ehjcr\/ytag167\/8513143"}},"subtitle":[],"editor":[{"given":"Luis Antonio","family":"Moreno-Ruiz","sequence":"additional","affiliation":[],"role":[{"role":"editor","vocabulary":"crossref"}]},{"given":"Edgar","family":"Vargas","sequence":"additional","affiliation":[],"role":[{"role":"editor","vocabulary":"crossref"}]},{"given":"Elvis J","family":"Amao-Ruiz","sequence":"additional","affiliation":[],"role":[{"role":"editor","vocabulary":"crossref"}]},{"given":"Deepti","family":"Ranganathan","sequence":"additional","affiliation":[],"role":[{"role":"editor","vocabulary":"crossref"}]}],"short-title":[],"issued":{"date-parts":[[2026,3]]},"references-count":14,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2026,3,2]]}},"URL":"https:\/\/doi.org\/10.1093\/ehjcr\/ytag167","relation":{},"ISSN":["2514-2119"],"issn-type":[{"value":"2514-2119","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2026,3]]},"published":{"date-parts":[[2026,3]]},"article-number":"ytag167"}}