Ethanol Infusion in the Vein of Marshall in a Patient with Persistent Atrial Fibrillation

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 i...

Descripción completa

Detalles Bibliográficos
Autores principales: Choi, Jah Yeon, Park, Eun Jin, Kim, Hee Dong, Park, Sung Hun, Song, Ji Young, Lee, Dae In, Shim, Jaemin, Kim, Young-Hoon
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Korean Society of Cardiology 2015
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4580702/
https://www.ncbi.nlm.nih.gov/pubmed/26413111
http://dx.doi.org/10.4070/kcj.2015.45.5.424
_version_ 1782391435405819904
author Choi, Jah Yeon
Park, Eun Jin
Kim, Hee Dong
Park, Sung Hun
Song, Ji Young
Lee, Dae In
Shim, Jaemin
Kim, Young-Hoon
author_facet Choi, Jah Yeon
Park, Eun Jin
Kim, Hee Dong
Park, Sung Hun
Song, Ji Young
Lee, Dae In
Shim, Jaemin
Kim, Young-Hoon
author_sort Choi, Jah Yeon
collection PubMed
description 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.
format Online
Article
Text
id pubmed-4580702
institution National Center for Biotechnology Information
language English
publishDate 2015
publisher The Korean Society of Cardiology
record_format MEDLINE/PubMed
spelling pubmed-45807022015-09-25 Ethanol Infusion in the Vein of Marshall in a Patient with Persistent Atrial Fibrillation Choi, Jah Yeon Park, Eun Jin Kim, Hee Dong Park, Sung Hun Song, Ji Young Lee, Dae In Shim, Jaemin Kim, Young-Hoon Korean Circ J Case Report 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. The Korean Society of Cardiology 2015-09 2015-06-30 /pmc/articles/PMC4580702/ /pubmed/26413111 http://dx.doi.org/10.4070/kcj.2015.45.5.424 Text en Copyright © 2015 The Korean Society of Cardiology http://creativecommons.org/licenses/by-nc/3.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Choi, Jah Yeon
Park, Eun Jin
Kim, Hee Dong
Park, Sung Hun
Song, Ji Young
Lee, Dae In
Shim, Jaemin
Kim, Young-Hoon
Ethanol Infusion in the Vein of Marshall in a Patient with Persistent Atrial Fibrillation
title Ethanol Infusion in the Vein of Marshall in a Patient with Persistent Atrial Fibrillation
title_full Ethanol Infusion in the Vein of Marshall in a Patient with Persistent Atrial Fibrillation
title_fullStr Ethanol Infusion in the Vein of Marshall in a Patient with Persistent Atrial Fibrillation
title_full_unstemmed Ethanol Infusion in the Vein of Marshall in a Patient with Persistent Atrial Fibrillation
title_short Ethanol Infusion in the Vein of Marshall in a Patient with Persistent Atrial Fibrillation
title_sort ethanol infusion in the vein of marshall in a patient with persistent atrial fibrillation
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4580702/
https://www.ncbi.nlm.nih.gov/pubmed/26413111
http://dx.doi.org/10.4070/kcj.2015.45.5.424
work_keys_str_mv AT choijahyeon ethanolinfusionintheveinofmarshallinapatientwithpersistentatrialfibrillation
AT parkeunjin ethanolinfusionintheveinofmarshallinapatientwithpersistentatrialfibrillation
AT kimheedong ethanolinfusionintheveinofmarshallinapatientwithpersistentatrialfibrillation
AT parksunghun ethanolinfusionintheveinofmarshallinapatientwithpersistentatrialfibrillation
AT songjiyoung ethanolinfusionintheveinofmarshallinapatientwithpersistentatrialfibrillation
AT leedaein ethanolinfusionintheveinofmarshallinapatientwithpersistentatrialfibrillation
AT shimjaemin ethanolinfusionintheveinofmarshallinapatientwithpersistentatrialfibrillation
AT kimyounghoon ethanolinfusionintheveinofmarshallinapatientwithpersistentatrialfibrillation

Ejemplares similares