{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,16]],"date-time":"2026-07-16T11:31:42Z","timestamp":1784201502064,"version":"3.55.0"},"reference-count":7,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2025,1,15]],"date-time":"2025-01-15T00:00:00Z","timestamp":1736899200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100002858","name":"China Postdoctoral Science Foundation","doi-asserted-by":"publisher","award":["2023M732152"],"award-info":[{"award-number":["2023M732152"]}],"id":[{"id":"10.13039\/501100002858","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Cardiovasc. Med."],"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>Dextrocardia is a rare congenital condition, affecting approximately 1 in 10,000\u201312,000 individuals. When combined with atrial fibrillation (AF), it becomes even rarer. \u201cOne-stop\u201d surgery, including combined radiofrequency ablation (RFA) and left atrial appendage occlusion (LAAO), has become a common clinical treatment for patients with AF who develop cerebral infarction despite regular oral anticoagulants. To date, no cases have been reported of patients with AF and dextrocardia undergoing the \u201cone-stop\u201d procedure, making this surgery particularly challenging.<\/jats:p><\/jats:sec><jats:sec><jats:title>Case presentation<\/jats:title><jats:p>An 85-year-old dextrocardia male with total visceral inversion and persistent AF developed cerebral infarction despite regular oral anticoagulation therapy. He was referred to our hospital for RFA of AF and LAAO. The procedure was successfully performed using a three-dimensional electroanatomical mapping system (Carto3, Biosense Webster, Diamond Bar, CA, USA), intracardiac echocardiography (ICE), and x-ray, with no complications.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>This is the first reported case of a \u201cone-stop\u201d surgery for dextrocardia with AF. This procedure is safe and feasible with the assistance of advanced technologies such as ICE and the VIZIGO bidirectional adjustable bent sheath.<\/jats:p><\/jats:sec>","DOI":"10.3389\/fcvm.2024.1525387","type":"journal-article","created":{"date-parts":[[2025,1,15]],"date-time":"2025-01-15T14:25:20Z","timestamp":1736951120000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":2,"title":["Left atrial appendage occlusion and radiofrequency ablation in a patient with atrial fibrillation and dextrocardia: a case report"],"prefix":"10.3389","volume":"11","author":[{"given":"Zengfu","family":"Zhang","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xiaohong","family":"Fu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Min","family":"Guo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jia","family":"Gao","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rui","family":"Wang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2025,1,15]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","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":"B2","doi-asserted-by":"publisher","first-page":"1099","DOI":"10.1001\/jama.2024.3026","article-title":"Pulmonary vein isolation with or without left atrial appendage ligation in atrial fibrillation: the aMAZE randomized clinical trial","volume":"331","author":"Lakkireddy","year":"2024","journal-title":"JAMA"},{"key":"B3","doi-asserted-by":"publisher","first-page":"1120","DOI":"10.1093\/europace\/eun165","article-title":"Successful catheter ablation of atrial fibrillation in a patient with dextrocardia","volume":"10","author":"Yamada","year":"2008","journal-title":"Europace"},{"key":"B4","doi-asserted-by":"publisher","first-page":"1725","DOI":"10.1093\/europace\/eus325","article-title":"Pulmonary vein isolation in a patient with dextrocardia","volume":"14","author":"Chong","year":"2012","journal-title":"Europace"},{"key":"B5","doi-asserted-by":"publisher","first-page":"e117","DOI":"10.1016\/j.jcin.2016.03.032","article-title":"Working in the mirror: left atrial appendage closure in a patient with dextrocardia","volume":"9","author":"Castriota","year":"2016","journal-title":"JACC Cardiovasc Interv"},{"key":"B6","doi-asserted-by":"publisher","first-page":"euae035","DOI":"10.1093\/europace\/euae035","article-title":"Practical guide on left atrial appendage closure for the non-implanting physician: an international consensus paper","volume":"26","author":"Potpara","year":"2024","journal-title":"Europace"},{"key":"B7","doi-asserted-by":"publisher","first-page":"euae043","DOI":"10.1093\/europace\/euae043","article-title":"2024 European heart rhythm association\/heart rhythm society\/Asia pacific heart rhythm society\/Latin American heart rhythm society expert consensus statement on catheter and surgical ablation of atrial fibrillation","volume":"26","author":"Tzeis","year":"2024","journal-title":"Europace"}],"container-title":["Frontiers in Cardiovascular Medicine"],"original-title":[],"link":[{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fcvm.2024.1525387\/full","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,1,15]],"date-time":"2025-01-15T14:25:22Z","timestamp":1736951122000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fcvm.2024.1525387\/full"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,1,15]]},"references-count":7,"alternative-id":["10.3389\/fcvm.2024.1525387"],"URL":"https:\/\/doi.org\/10.3389\/fcvm.2024.1525387","relation":{},"ISSN":["2297-055X"],"issn-type":[{"value":"2297-055X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,1,15]]},"article-number":"1525387"}}