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Case Report
Volume 6, Issue 1

Cryoballoon Pulmonary Vein Isolation Facilitated by Integrated Electroanatomical Mapping for Paroxysmal Atrial Fibrillation in a Patient with Kartagener Syndrome

Maxime Tijskens1,2, 3*, Benjamin de Becker1, Michael Wolf1, Bruno Schwagten1,3 and Yves De Greef1,3

1Department of Cardiology, ZAS Heart Centre Middelheim, Antwerp, Belgium
2Department of Cardiology, AZ Rivierenland Hospital, Bornem-Rumst-Willebroek, Belgium
3Heart Rhythm Management Centre, Postgraduate Program in Cardiac Electrophysiology and Pacing, Universitair Ziekenhuis Brussel-Vrije Universiteit Brussel, European Reference Networks Guard-Heart, Brussels, Belgium

*Corresponding author: Maxime Tijskens, Department of Cardiology, ZAS Heart Centre Middelheim, Antwerp, Belgium. E-mail: maxime.tijskens@gmail.com

Received: November 23, 2025; Accepted: December 08, 2025; Published: January 05, 2026

Citation: Tijskens M, de Becker B, Wolf M, et al. Cryoballoon Pulmonary Vein Isolation Facilitated by Integrated Electroanatomical Mapping for Paroxysmal Atrial Fibrillation in a Patient with Kartagener’s Syndrome. Case Rep Clin Cardiol J. 2026; 6(1): 170.

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Cryoballoon Pulmonary Vein Isolation Facilitated by Integrated Electroanatomical Mapping for Paroxysmal Atrial Fibrillation in a Patient with Kartagener Syndrome
Abstract

We describe the first case of cryoballoon (CB) pulmonary vein isolation (PVI) facilitated by perioperative electroanatomical mapping (EAM) in a patient with dextrocardia due to Kartagener's syndrome and highly symptomatic paroxysmal atrial fibrillation. Current case report highlights the different advantages of the addition of EAM to CB ablation for AF. This approach is feasible strategy for rhythm control in patients with atrial fibrillation and Kartagener’s syndrome for which medication can be contra-indicated.

Keywords: Atrial fibrillation; Cryoballoon ablation; Electroanatomical mapping; Difficult anatomy; Dextrocardia

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