Ethanol injection into the Marshall vein provoking a pericardial effusion resulting in a fatal complication in a patient with persistent atrial fibrillation

Key Clinical Message An EIM (ethanol infusion into the vein of Marshall [VOM]) provoked a fatal complication in a chronic hemodialysis patient. Autopsy revealed a lacerated VOM covered with thrombi as the only potential cause. The EIM caused vascular damage and clots resulting in myocardial necrosis...

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Published inClinical case reports Vol. 5; no. 9; pp. 1510 - 1515
Main Authors Kato, Kazuo, Igawa, Osamu, Morimoto, Shin‐ichiro, Kametani, Ryosuke, Tanaka, Akimitsu, Hattori, Hideo
Format Journal Article
LanguageEnglish
Published England John Wiley & Sons, Inc 01.09.2017
John Wiley and Sons Inc
Subjects
Atrial fibrillation
cardiac tamponade
Case Report
Case Reports
chemical ablation
complication
ethanol
vein of Marshall
complication
cardiac tamponade
chemical ablation
ethanol
Atrial fibrillation
vein of Marshall
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Summary:Key Clinical Message An EIM (ethanol infusion into the vein of Marshall [VOM]) provoked a fatal complication in a chronic hemodialysis patient. Autopsy revealed a lacerated VOM covered with thrombi as the only potential cause. The EIM caused vascular damage and clots resulting in myocardial necrosis and interstitial bleeding around the lacerated VOM. An EIM (ethanol infusion into the vein of Marshall [VOM]) provoked a fatal complication in a chronic hemodialysis patient. Autopsy revealed a lacerated VOM covered with thrombi as the only potential cause. The EIM caused vascular damage and clots resulting in myocardial necrosis and interstitial bleeding around the lacerated VOM.
ISSN:2050-0904
2050-0904
DOI:10.1002/ccr3.1076