Korean Circulation Journal

  • 제45권5호
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  • Pages.424-427
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  • 2015
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  • 1738-5520(pISSN)
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  • 1738-5555(eISSN)
대한심장학회 (The Korean Society of Cardiology)
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Ethanol Infusion in the Vein of Marshall in a Patient with Persistent Atrial Fibrillation

  • Choi, Jah Yeon (Department of Cardiology, Korea University College of Medicine, Anam Hospital) ;
  • Park, Eun Jin (Department of Cardiology, Korea University College of Medicine, Anam Hospital) ;
  • Kim, Hee Dong (Department of Cardiology, Korea University College of Medicine, Anam Hospital) ;
  • Park, Sung Hun (Department of Cardiology, Korea University College of Medicine, Anam Hospital) ;
  • Song, Ji Young (Department of Cardiology, Korea University College of Medicine, Anam Hospital) ;
  • Lee, Dae In (Department of Cardiology, Korea University College of Medicine, Anam Hospital) ;
  • Shim, Jaemin (Department of Cardiology, Korea University College of Medicine, Anam Hospital) ;
  • Kim, Young-Hoon (Department of Cardiology, Korea University College of Medicine, Anam Hospital)
  • 투고 : 2014.09.28
  • 심사 : 2014.10.28
  • 발행 : 2015.09.30
⟨ 이전 논문 다음 논문 ⟩

초록

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.

키워드

참고문헌

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피인용 문헌

  1. Improving ablation results in persistent AF: Is ethanol the answer? vol.30, pp.8, 2015, https://doi.org/10.1111/jce.13971