Background: We present a case report of a 67-year-old male with dextrocardia situs inversus totalis and persistent atrial fibrillation who presented for radiofrequency pulmonary vein isolation.

Methods: Pulmonary vein isolation was performed using the St Jude Medical Ensite NavX 3D mapping system with AccuNav ICE guidance.

Results: All pulmonary veins were successfully isolated. The procedure time was 125 mins with a fluoroscopy time of 44.3 mins. The fluoro dose was 2095cGycm2. There were no procedural complications.

Conclusions: Radiofrequency pulmonary vein isolation can be performed safely and successfully in patients with dextrocardia and situs inversus totalis.

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http://dx.doi.org/10.1016/j.hlc.2016.10.003DOI Listing

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