A CASE OF ARRHYTHMOGENIC RIGHT VENTRICULAR DYSPLASIA(ARVD) WITH THE INTRAVENTRICULAR SEPTUM OF RIGHT VENTRICLE

• Published in: Japanese Journal of National Medical Services Vol. 51; no. 3; pp. 125 - 129
• Main Authors: NISHIMURA, Eni, IWASAKI, Tadasu, KAWAHARA, Eisuke, YAMASA, Toshihiko, NAKAMURA, Koichi, KOHNO, Shigeru, MIYAHARA, Yoshiyuki
• Format: Journal Article
• Language: Japanese
• Published: Japanese Society of National Medical Services 1997; 一般社団法人 国立医療学会
• Subjects: ARVD; intraventricular septum of right ventricle; ventricular tachycardia; 右室内隔壁; 心室頻拍
• ISSN: 0021-1699; 1884-8729
• DOI: 10.11261/iryo1946.51.125

A 42 year - old man with oppressive feeling of epigastrium, nausea, vomitting consulted a physician's office. His electrocardiogram (ECG) revealed ventricular tachycardia, and was received a cardioversion. Since he was admitted to our hospital for close examination of his heart. On addmission, his ECG showed sinus rhythm and a chest X-ray film revealed normal cardiac silhouette (CTR 48.2%). His laboratory data revealed normal. Echocardiogram showed an enlarged right ventricle (RV) and detected an intraventricular septum of RV near the apex. Right ventriculography showed hypokinesis and the chest CT, MRI showed the abnormal septum. The his-tology of the biopsied right endmyocardium showed the fibrosis and involvement of the fat tissue. The diagnosis of arrhythmogenic right ventricular dysplasia (ARVD) was made based on the clini-cal and pathological findings.