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Marshall 静脉内乙醇注射后一过性左侧膈神经麻痹。

Transient left phrenic nerve paralysis after ethanol infusion into the vein of Marshall.

机构信息

Division of Cardiology, Gunma Prefectural Cardiovascular Center, Gunma, Japan.

出版信息

J Cardiovasc Electrophysiol. 2022 Aug;33(8):1897-1900. doi: 10.1111/jce.15593. Epub 2022 Jun 21.

Abstract

An 80-year-old man underwent catheter ablation for atrial tachycardia (AT), which developed after catheter ablation for atrial fibrillation. The AT was diagnosed as dual-loop tachycardia, which included peri-mitral and roof-dependent ATs. An ethanol infusion into the vein of Marshall resulted in left phrenic nerve paralysis. During the procedure, the phrenic nerve paralysis was completely relieved.

摘要

一位 80 岁男性因心房颤动(房颤)行导管消融术后出现房性心动过速(AT),此次 AT 诊断为双环性心动过速,包括二尖瓣环旁和房顶依赖型房速。Marshall 静脉内注射乙醇导致左侧膈神经麻痹。在手术过程中,膈神经麻痹完全缓解。

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