open access

Vol 65, No 6 (2007)
Other
Published online: 2007-07-02
Submitted: 2012-12-28
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Invasive electrophysiology
The vein of Marshall as a source of various types of atrial arrhythmias, including adrenergic paroxysmal atrial fibrillation – successful catheter ablation

Franciszek Walczak, Robert Bodalski, Łukasz Szumowski, Joanna Zakrzewska, Paweł Derejko, Ewa Szufladowicz, Michał Orczykowski, Włodzimierz Szaroszyk, Piotr Szymański, Rafał Baranowski, Roman Kępski
Kardiol Pol 2007;65(6):724-730.

open access

Vol 65, No 6 (2007)
Other
Published online: 2007-07-02
Submitted: 2012-12-28

Abstract

We describe a case of a 44-year old man with recurrent atrial arrhythmias (atrial ectopy, atrial tachycardia and fibrillation) originating from the vein of Marshall (VoM). Stress, exertion and isoproterenol increased frequency and duration of highly symptomatic arrhythmia paroxysms. In 2002 he underwent two sessions of RF ablation. In the area of the left inferior pulmonary vein ostium (LIPV) and along the course the VoM, spiky, firing potentials were recorded. Ablation of the VoM region induced high frequency focal firing (CL~200 ms) with 1: 1 VoM ® LA conduction. Before sinus rhythm return, a gradual increase of conduction of VoM ® LA block was observed. During the second session residual breakthroughs were recorded. During 5 years of follow-up the patient remained free from arrhythmia without antiarrhythmic drugs.

Abstract

We describe a case of a 44-year old man with recurrent atrial arrhythmias (atrial ectopy, atrial tachycardia and fibrillation) originating from the vein of Marshall (VoM). Stress, exertion and isoproterenol increased frequency and duration of highly symptomatic arrhythmia paroxysms. In 2002 he underwent two sessions of RF ablation. In the area of the left inferior pulmonary vein ostium (LIPV) and along the course the VoM, spiky, firing potentials were recorded. Ablation of the VoM region induced high frequency focal firing (CL~200 ms) with 1: 1 VoM ® LA conduction. Before sinus rhythm return, a gradual increase of conduction of VoM ® LA block was observed. During the second session residual breakthroughs were recorded. During 5 years of follow-up the patient remained free from arrhythmia without antiarrhythmic drugs.
Get Citation

Keywords

focal adrenergic atrial fibrillation; vein of Marshall; selective RF ablation

About this article
Title

Invasive electrophysiology
The vein of Marshall as a source of various types of atrial arrhythmias, including adrenergic paroxysmal atrial fibrillation – successful catheter ablation

Journal

Kardiologia Polska (Polish Heart Journal)

Issue

Vol 65, No 6 (2007)

Pages

724-730

Published online

2007-07-02

Bibliographic record

Kardiol Pol 2007;65(6):724-730.

Keywords

focal adrenergic atrial fibrillation
vein of Marshall
selective RF ablation

Authors

Franciszek Walczak
Robert Bodalski
Łukasz Szumowski
Joanna Zakrzewska
Paweł Derejko
Ewa Szufladowicz
Michał Orczykowski
Włodzimierz Szaroszyk
Piotr Szymański
Rafał Baranowski
Roman Kępski

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