The vein of Marshall (VOM) is usually very small and requires special attention to be visualized on cardiac computed tomography (CT). In this case report, we describe a patient with an incidentally found dilated VOM on cardiac CT angiography for the survey of coronary artery disease. Correct identification of this anatomical variant could be helpful before performing cardiac interventional procedures such as ablation for atrial fibrillation or implantation of biventricular devices, particularly when it is dilated.
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