Sick sinus syndrome requiring permanent pacemaker implantation in a patient with mirror-image dextrocardia.

@article{Goyal1976SickSS,
  title={Sick sinus syndrome requiring permanent pacemaker implantation in a patient with mirror-image dextrocardia.},
  author={S L Goyal and E Lichestein and Pankaj Kumar Gupta and Karim Chadda and F A Lajam},
  journal={Chest},
  year={1976},
  volume={69 4},
  pages={558-61}
}
A patient with the sick sinus syndrome accompanying mirror-image dextrocardia which was associated with double superior venae cavae and an absent inferior vena cava is presented. A permanent transvenous demand pacemaker was inserted because of repeated episodes of dizziness and a documented 31/2-second period of asystole. Precise knowledge of the venous system and the location of the apex of the right ventricle was necessary prior to permanent pacemaker implantation.