Successful cryoballoon pulmonary vein isolation in a patient with situs inversus and dextrocardia

Yasuhiro Yoshiga; Akihiko Shimizu; Takeshi Ueyama; Makoto Ono; Tomoko Fumimoto; Hironori Ishiguchi; Masafumi Yano

doi:10.1016/j.joa.2016.03.005

Successful cryoballoon pulmonary vein isolation in a patient with situs inversus and dextrocardia

J Arrhythm. 2016 Dec;32(6):493-495. doi: 10.1016/j.joa.2016.03.005. Epub 2016 Apr 23.

Authors

Yasuhiro Yoshiga¹, Akihiko Shimizu², Takeshi Ueyama¹, Makoto Ono¹, Tomoko Fumimoto¹, Hironori Ishiguchi¹, Masafumi Yano¹

Affiliations

¹ Department of Medicine and Clinical Science, Yamaguchi University Graduate School of Medicine, Ube, Japan.
² The Faculty of Health Sciences, Yamaguchi University Graduate School of Medicine, Ube, Japan.

Abstract

A 79-year-old man with situs inversus and dextrocardia underwent catheter ablation of symptomatic paroxysmal atrial fibrillation. Pulmonary vein isolation (PVI), using second-generation cryoballoon under Ensite NavX system guidance, was performed successfully in a reverse manner, which required short procedure and fluoroscopy times, as required in a PVI performed on a normal heart without any complications. Cryoballoon-based PVI under Ensite NavX guidance was feasible and safe to achieve a favorable outcome in this patient with abnormal anatomy.

Keywords: Atrial fibrillation; Catheter ablation; Cryoballoon; Dextrocardia; Pulmonary vein isolation.