Right Ventricular Cardiomyopathy Meeting the Arrhythmogenic Right Ventricular Dysplasia Revised Criteria? Don't Forget Sarcoidosis!.
10.3348/kjr.2015.16.3.668
- Author:
Sabina VASATURO
1
;
David E PLOEG
;
Guadalupe BUITRAGO
;
Katja ZEPPENFELD
;
Maud VESELIC-CHARVAT
;
Lucia J M KROFT
Author Information
1. Department of Radiology, Leiden University Medical Center, Leiden 2333 ZA, The Netherlands. l.j.m.kroft@lumc.nl
- Publication Type:Case Reports
- Keywords:
Sarcoidosis;
ARVD;
Cardiomyopathy;
MRI;
Late enhancement;
Right ventricle;
Pathology
- MeSH:
Arrhythmogenic Right Ventricular Dysplasia/*diagnosis;
Female;
Heart Ventricles/pathology;
Humans;
Lung/pathology;
Magnetic Resonance Imaging;
Middle Aged;
Myocardium/pathology;
Sarcoidosis/*diagnosis;
Thyroid Gland/pathology;
Ventricular Fibrillation/diagnosis/*etiology
- From:Korean Journal of Radiology
2015;16(3):668-672
- CountryRepublic of Korea
- Language:English
-
Abstract:
A 53-year-old woman was referred for ventricular fibrillation with resuscitation. A CT-angiography showed signs of a right ventricular enlargement without obvious cause. A cardiac MRI demonstrated a dilated and hypokinetic right ventricle with extensive late gadolinium enhancement. Arrhythmogenic right ventricular dysplasia (ARVD) was suspected according to the "revised ARVD task force criteria". An endomyocardial biopsy was inconclusive. The patient developed purulent pericarditis after epicardial ablation therapy and died of toxic shock syndrome. The post-mortem pathologic examination demonstrated sarcoidosis involving the heart, lungs, and thyroid gland.
