Surgical therapy for arrhythmogenic right ventricular adiposis

Arrhythmogenic right ventricular adiposis, formerly dysplasia, was identified when the first patients underwent map-guided surgery for treatment of their ventricular tachycardia. We report our experience with 12 patients operated on using a conservative approach between 1973 and 1981 (Paris). Subsequently, we used a more comprehensive approach in five patients (London, Canada); the right ventricular free wall disconnection was used to confine all potential right ventricular tachycardias within the excluded right ventricular wall.