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A 41-year-old man had undergone pulmonary vein isolation and linear ablation at the roof and mitral isthmus (MI) for persistent atrial fibrillation. He subsequently experienced atrial tachycardia (AT). The activation map during the AT revealed macro-re-entrant AT with impulse propagation …

A case of ridge-related re-entrant atrial tachycardia utilizing the vein of Marshall to span a conduction gap at the mitral isthmus scar