title: Successful cryoballoon pulmonary vein isolation in a patient with situs inversus and dextrocardia.
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.
authors.affiliation: Department of Medicine and Clinical Science, Yamaguchi University Graduate School of Medicine, Ube, Japan.
authors.forename: Yasuhiro
authors.initials: Y
authors.lastname: Yoshiga
authors.affiliation: The Faculty of Health Sciences, Yamaguchi University Graduate School of Medicine, Ube, Japan.
authors.forename: Akihiko
authors.initials: A
authors.lastname: Shimizu
authors.affiliation: Department of Medicine and Clinical Science, Yamaguchi University Graduate School of Medicine, Ube, Japan.
authors.forename: Takeshi
authors.initials: T
authors.lastname: Ueyama
authors.affiliation: Department of Medicine and Clinical Science, Yamaguchi University Graduate School of Medicine, Ube, Japan.
authors.forename: Makoto
authors.initials: M
authors.lastname: Ono
authors.affiliation: Department of Medicine and Clinical Science, Yamaguchi University Graduate School of Medicine, Ube, Japan.
authors.forename: Tomoko
authors.initials: T
authors.lastname: Fumimoto
authors.affiliation: Department of Medicine and Clinical Science, Yamaguchi University Graduate School of Medicine, Ube, Japan.
authors.forename: Hironori
authors.initials: H
authors.lastname: Ishiguchi
authors.affiliation: Department of Medicine and Clinical Science, Yamaguchi University Graduate School of Medicine, Ube, Japan.
authors.forename: Masafumi
authors.initials: M
authors.lastname: Yano
keywords: Atrial fibrillation; Catheter ablation; Cryoballoon; Dextrocardia; Pulmonary vein isolation