Focal ablation for atrial tachycardia from the double-exit of the Marshall bundle inducing atrial fibrillation

Atrial fibrillation (AF) from the ligament/vein of Marshall (LOM/VOM) has previously been described. We report the case of a 23-year-old woman with an antiarrhythmic drug-resistant AF induced by two distinct atrial tachycardias (ATs). Focal ablation of these ATs from the double-exit of the Marshall...

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Main Authors: Jung Yeon Chin, MD, Jong Woo Kim, MD, Ki-Woon Kang, PhD
Format: Article
Language:English
Published: Wiley 2017-08-01
Series:Journal of Arrhythmia
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S1880427616307293
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spelling doaj-6a4234b074fb4b7fbf71871b7a7fb7c32020-11-24T22:15:23ZengWileyJournal of Arrhythmia1880-42762017-08-0133432432710.1016/j.joa.2016.11.002Focal ablation for atrial tachycardia from the double-exit of the Marshall bundle inducing atrial fibrillationJung Yeon Chin, MDJong Woo Kim, MDKi-Woon Kang, PhDAtrial fibrillation (AF) from the ligament/vein of Marshall (LOM/VOM) has previously been described. We report the case of a 23-year-old woman with an antiarrhythmic drug-resistant AF induced by two distinct atrial tachycardias (ATs). Focal ablation of these ATs from the double-exit of the Marshall bundle using a three-dimensional map eliminated AF triggering, even though pulmonary vein electrical isolation is the cornerstone for paroxysmal AF. Such mechanisms are important as triggering factors to plan ablation for paroxysmal AF. Focal ablation for triggering and inducing AF, originating from the double-exit of the Marshall bundle may be effective in eliminating AF in young patients.http://www.sciencedirect.com/science/article/pii/S1880427616307293Atrial fibrillationAtrial tachycardiaAblation
collection DOAJ
language English
format Article
sources DOAJ
author Jung Yeon Chin, MD
Jong Woo Kim, MD
Ki-Woon Kang, PhD
spellingShingle Jung Yeon Chin, MD
Jong Woo Kim, MD
Ki-Woon Kang, PhD
Focal ablation for atrial tachycardia from the double-exit of the Marshall bundle inducing atrial fibrillation
Journal of Arrhythmia
Atrial fibrillation
Atrial tachycardia
Ablation
author_facet Jung Yeon Chin, MD
Jong Woo Kim, MD
Ki-Woon Kang, PhD
author_sort Jung Yeon Chin, MD
title Focal ablation for atrial tachycardia from the double-exit of the Marshall bundle inducing atrial fibrillation
title_short Focal ablation for atrial tachycardia from the double-exit of the Marshall bundle inducing atrial fibrillation
title_full Focal ablation for atrial tachycardia from the double-exit of the Marshall bundle inducing atrial fibrillation
title_fullStr Focal ablation for atrial tachycardia from the double-exit of the Marshall bundle inducing atrial fibrillation
title_full_unstemmed Focal ablation for atrial tachycardia from the double-exit of the Marshall bundle inducing atrial fibrillation
title_sort focal ablation for atrial tachycardia from the double-exit of the marshall bundle inducing atrial fibrillation
publisher Wiley
series Journal of Arrhythmia
issn 1880-4276
publishDate 2017-08-01
description Atrial fibrillation (AF) from the ligament/vein of Marshall (LOM/VOM) has previously been described. We report the case of a 23-year-old woman with an antiarrhythmic drug-resistant AF induced by two distinct atrial tachycardias (ATs). Focal ablation of these ATs from the double-exit of the Marshall bundle using a three-dimensional map eliminated AF triggering, even though pulmonary vein electrical isolation is the cornerstone for paroxysmal AF. Such mechanisms are important as triggering factors to plan ablation for paroxysmal AF. Focal ablation for triggering and inducing AF, originating from the double-exit of the Marshall bundle may be effective in eliminating AF in young patients.
topic Atrial fibrillation
Atrial tachycardia
Ablation
url http://www.sciencedirect.com/science/article/pii/S1880427616307293
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