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Arrhythmogenic right ventricular dysplasi-a (ARVD) is a rare form of cardiomyopathy. It commonly presents in young adults with ventricular tachycardia or sudden death. Right ventricular (RV) dilatation and apical aneurysm are the typical findings in ima-ging methods. However intraventricular thrombus is rarely seen in ARVD cases. A 19 year old male was admitted to hospital with palpitation and syncope. T wave inversion was detected on anterior surface electro-cardiogram. Transthoracic echocardio-graphy revealed dilated RV and apical ane-urysm in which thrombus located (Fig-1). Cardiac magnetic rezonans imaging comfir-med RV enlargement, fatty infiltration, fibro-sis, wall motion abnormalities and apical ane-ursym with thrombus. Anticoagulation thera-phy commenced to the patient. After three months later trombus resoluted and ICD was implanted. Imaging methods have a great importance in the diagnosis of ARVD besides electrocardiographic, arrhythmic, histological and familial characteristics. While right ventri-cular dilatation and apical aneurysm are im-portant criteria for the diagnosis process, the presence of thrombus should be evaluated carefully.
Arrhythmogenic right ventricular dysplasi-a (ARVD) is a rare form of cardiomyopathy. It commonly presents in young adults with ventricular tachycardia or sudden death. Right ventricular (RV) dilatation and apical aneurysm are the typical findings in imaging methods. However intraventricular thrombus is rarely seen in ARVD cases. A 19-year-old man was admitted to hospital with palpitation and syncope. T wave inversion was detected on the anterior surface electro-cardiogram. Transthoracic echocardio-graphy revealed dilated RV and apical ane-urysm in which the thrombus located (Fig-1). Cardiac magnetic resonance imaging comfir-med RV enlargement, fatty infiltration, fibro-sis, wall motion abnormalities and apical ane-ursym with thrombus. Anticoagulation thera-phy began to the patient. Three months later the thrombus was resolved and the ICD was implanted. Imaging methods have a great importance in the diagnosis of ARVD besides electrocardiographic, arithmic, histological and family characteristics. While right ventri-cular dilatation and apical aneurysm are im-portant criteria for the diagnosis process, the presence of the thrombus should be evaluated carefully.
Alan : Sağlık Bilimleri
Dergi Türü : Ulusal
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