Vein of Marshall ethanol infusion for recurrent atrial flutter after ablation in a patient with dextrocardia
Abstract Introduction Managing recurrent atrial flutter (AFL) following radiofrequency ablation (RFA) for atrial fibrillation (AF) poses significant clinical challenges. Methods and results We report an 82-year-old male with mirror-image dextrocardia who developed AFL post-AF ablation. During the re...
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| Format: | Article |
| Language: | English |
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BMC
2025-04-01
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| Series: | BMC Cardiovascular Disorders |
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| Online Access: | https://doi.org/10.1186/s12872-025-04716-6 |
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| author | Zikan Zhong Xiaoyu Wu Jie An Qitong Zhang Cheng Cheng Yong Wei Songwen Chen Shaowen Liu Genqing Zhou |
| author_facet | Zikan Zhong Xiaoyu Wu Jie An Qitong Zhang Cheng Cheng Yong Wei Songwen Chen Shaowen Liu Genqing Zhou |
| author_sort | Zikan Zhong |
| collection | DOAJ |
| description | Abstract Introduction Managing recurrent atrial flutter (AFL) following radiofrequency ablation (RFA) for atrial fibrillation (AF) poses significant clinical challenges. Methods and results We report an 82-year-old male with mirror-image dextrocardia who developed AFL post-AF ablation. During the redo procedure, vein of Marshall ethanol infusion (VOM-Et) was employed as the initial intervention, successfully terminating the mitral isthmus (MI)-dependent AFL and transitioning into cavotricuspid isthmus (CTI)-dependent AFL during ethanol infusion. Subsequent ablation restored sinus rhythm. Conclusion Using VOM-EI as the initial intervention in patients with recurrent AFL is a feasible and safe approach, and to our knowledge, this represents the first reported case of VOM-EI in a patient with recurrent AFL in the setting of dextrocardia. |
| format | Article |
| id | doaj-art-2a591f7ba9da4a01b15a65406cc3d422 |
| institution | OA Journals |
| issn | 1471-2261 |
| language | English |
| publishDate | 2025-04-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Cardiovascular Disorders |
| spelling | doaj-art-2a591f7ba9da4a01b15a65406cc3d4222025-08-20T02:34:02ZengBMCBMC Cardiovascular Disorders1471-22612025-04-012511510.1186/s12872-025-04716-6Vein of Marshall ethanol infusion for recurrent atrial flutter after ablation in a patient with dextrocardiaZikan Zhong0Xiaoyu Wu1Jie An2Qitong Zhang3Cheng Cheng4Yong Wei5Songwen Chen6Shaowen Liu7Genqing Zhou8Department of Cardiology, Shanghai General Hospital, Shanghai Jiao Tong University School of MedicineDepartment of Cardiology, Shanghai General Hospital, Shanghai Jiao Tong University School of MedicineDepartment of Cardiology, The Third Affiliated Hospital of Zunyi Medical University (The First People’s Hospital of Zunyi)Department of Cardiology, Shanghai General Hospital, Shanghai Jiao Tong University School of MedicineDepartment of Cardiology, Shanghai General Hospital, Shanghai Jiao Tong University School of MedicineDepartment of Cardiology, Shanghai General Hospital, Shanghai Jiao Tong University School of MedicineDepartment of Cardiology, Shanghai General Hospital, Shanghai Jiao Tong University School of MedicineDepartment of Cardiology, Shanghai General Hospital, Shanghai Jiao Tong University School of MedicineDepartment of Cardiology, Shanghai General Hospital, Shanghai Jiao Tong University School of MedicineAbstract Introduction Managing recurrent atrial flutter (AFL) following radiofrequency ablation (RFA) for atrial fibrillation (AF) poses significant clinical challenges. Methods and results We report an 82-year-old male with mirror-image dextrocardia who developed AFL post-AF ablation. During the redo procedure, vein of Marshall ethanol infusion (VOM-Et) was employed as the initial intervention, successfully terminating the mitral isthmus (MI)-dependent AFL and transitioning into cavotricuspid isthmus (CTI)-dependent AFL during ethanol infusion. Subsequent ablation restored sinus rhythm. Conclusion Using VOM-EI as the initial intervention in patients with recurrent AFL is a feasible and safe approach, and to our knowledge, this represents the first reported case of VOM-EI in a patient with recurrent AFL in the setting of dextrocardia.https://doi.org/10.1186/s12872-025-04716-6Recurrent atrial flutterVein of Marshall ethanol infusionRadiofrequency ablation |
| spellingShingle | Zikan Zhong Xiaoyu Wu Jie An Qitong Zhang Cheng Cheng Yong Wei Songwen Chen Shaowen Liu Genqing Zhou Vein of Marshall ethanol infusion for recurrent atrial flutter after ablation in a patient with dextrocardia BMC Cardiovascular Disorders Recurrent atrial flutter Vein of Marshall ethanol infusion Radiofrequency ablation |
| title | Vein of Marshall ethanol infusion for recurrent atrial flutter after ablation in a patient with dextrocardia |
| title_full | Vein of Marshall ethanol infusion for recurrent atrial flutter after ablation in a patient with dextrocardia |
| title_fullStr | Vein of Marshall ethanol infusion for recurrent atrial flutter after ablation in a patient with dextrocardia |
| title_full_unstemmed | Vein of Marshall ethanol infusion for recurrent atrial flutter after ablation in a patient with dextrocardia |
| title_short | Vein of Marshall ethanol infusion for recurrent atrial flutter after ablation in a patient with dextrocardia |
| title_sort | vein of marshall ethanol infusion for recurrent atrial flutter after ablation in a patient with dextrocardia |
| topic | Recurrent atrial flutter Vein of Marshall ethanol infusion Radiofrequency ablation |
| url | https://doi.org/10.1186/s12872-025-04716-6 |
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