Percutaneous transhepatic access for catheter ablation of a patient with heterotaxy syndrome complicated with atrial fibrillation: A case report

Figure 1 Serial fluoroscopic still frames during the procedure. A: Electrocardiogram before the operation; B: JR4.0 catheter was inserted into the hepatic vein via the superior vena cava and then a contrast agent was injected to determine the main direction of the hepatic vein; C: Hepatic access was obtained under the guidance of angiography; D: A 0.035-inch Bentson wire was placed through the needle into the right atrium.