A case report of ethanol infusion in the vein of Marshall using the right jugular vein approach.

ABSTRACT:

Background

Ethanol infusion has recently been described as a curative strategy for certain peri-mitral flutters by blocking electrical conduction across the mitral isthmus along with the Marshall bundle. The present case showed that a right jugular vein approach, less described, may be a good choice when performing an ethanol infusion in the vein of Marshall (VOM).

Case summary

A 45-year-old man was admitted to our unit for dyspnoea associated with an atypical atrial flutter with a cycle length of 320 ms. The left atrial activation map showed a peri-mitral counter-clockwise circuit. The atrial flutter cycle length went up to 345 ms once an endocardial and epicardial point-by point-ablation of the mitral line was completed. At this stage, a new activation map showed that the

SUBMITTER: Philibert S 

PROVIDER: S-EPMC7649458 | biostudies-literature | 2020 Oct

REPOSITORIES: biostudies-literature