Ethanol infusion in the vein of marshall in a patient with persistent atrial fibrillation

Jah Yeon Choi, Eun Jin Park, Hee Dong Kim, Sung Hun Park, Ji Young Song, Dae In Lee, Jaemin Shim, Young Hoon Kim

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

We report the case of a 64-year-old male with persistent atrial fibrillation (AF) terminated by ethanol infusion into vein of Marshall as add-on therapy. Three-dimensional automated complex fractionated atrial electrogram (CFAE) during AF revealed clustering of CFAE at perimitral isthmus (PMI) and its unipolar mapping showed rotor-like activation, which was suggested to be critical in the perpetuation of AF. AF was organized to atrial tachycardia (AT) by 100% ethanol infusion in the vein of Marshall. Adjunctive radiofrequency ablation at PMI successfully terminated AT and led to bidirectional block of PMI.

Original languageEnglish
Pages (from-to)424-427
Number of pages4
JournalKorean Circulation Journal
Volume45
Issue number5
DOIs
Publication statusPublished - 2015 Sep 1

Keywords

  • Atrial fibrillation
  • Catheter ablation

ASJC Scopus subject areas

  • Internal Medicine
  • Cardiology and Cardiovascular Medicine

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