Wakabayashi Yasushi, Hayashi Takekuni, Sugawara Yoshitaka, Mitsuhashi Takeshi, Fujita Hideo, Momomura Shin-Ichi
Division of Cardiovascular Medicine, Saitama Medical Center, Jichi Medical University, 1-847 Amanuma, Omiya-ku, Saitama City, 330-8503 Saitama, Japan.
J Arrhythm. 2017 Dec;33(6):633-636. doi: 10.1016/j.joa.2017.07.010. Epub 2017 Oct 12.
A 74-year-old woman who developed atrial tachycardia following the Cox-Maze IV procedure underwent catheter ablation. The reentrant circuit included the coronary sinus (CS), Marshall bundle (MB), distal MB-left atrial (LA) connection, and anterolateral mitral annulus. The distal MB-LA connection was the last barrier in the conduction pathway between the CS and the left atrium.
一名74岁女性在接受Cox-Maze IV手术后出现房性心动过速,接受了导管消融治疗。折返环包括冠状窦(CS)、马歇尔束(MB)、MB与左心房(LA)的远端连接以及二尖瓣前外侧环。MB与LA的远端连接是CS与左心房之间传导通路中的最后一道屏障。