Abstract
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.
