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Detection of fatty tissue in the myocardium by using computerized tomography in a patient with arrhythmogenic right

K Sotozono1, S Imahara, H Masuda

  • 1Second Department of Internal Medicine, St. Marianna University School of Medicine, Kawasaki, Japan.

Heart and Vessels. Supplement
|January 1, 1990
PubMed

Insights

Arrhythmogenic right ventricular dysplasia (ARVD) can affect both ventricles. Computerized tomography (CT) and endomyocardial biopsy effectively detected fatty tissue in this ARVD case.

Area of Science:

  • Cardiology
  • Medical Imaging
  • Pathology

Background:

  • Arrhythmogenic right ventricular dysplasia (ARVD) is a primary inherited cardiomyopathy.
  • It is characterized by fibrofatty replacement of the right ventricular myocardium.
  • Left ventricular involvement is less common but recognized.

Observation:

  • A case of ARVD involving both the right and left ventricles was presented.
  • The diagnostic utility of endomyocardial biopsy and computerized tomography was evaluated.
  • Fatty infiltration within the myocardium was the key pathological finding.

Findings:

  • Computerized tomography (CT) demonstrated fatty tissue infiltration in the myocardium.
  • Right ventricular endomyocardial biopsy confirmed the presence of fatty tissue.
  • The combined use of CT and biopsy was effective in diagnosing ARVD with biventricular involvement.

Implications:

  • This case highlights the importance of advanced imaging techniques like CT in diagnosing ARVD.
  • CT can be a valuable tool for detecting myocardial fatty infiltration in ARVD.
  • Early and accurate diagnosis of ARVD is crucial for patient management and prognosis.

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