The right ventricle may be the source of potentially lethal arrhythmias. This paper presents a case of sudden cardiac death due to right ventricular dysplasia, a cardiomyopathy predominantly affecting the right ventricle. The clinical and pathological features of this unusual cardiomyopathy and its relationship to Uhl's anomaly and right ventricular dilated cardiomyopathy are discussed.
Get full access to this article
View all access options for this article.
References
1.
BharatiS.CirauloD. A.BilitchM.RosenK.LevM. (1978) Inexcitable right ventricle and bilateral bundle branch block in Uhl's disease. Circulation57, 636–44.
2.
BharatiS.FeldA. W.BauernfeindR.KattusA. A.LevM. (1983) Hypoplasia of the right ventricle with tachycardia. Arch. Pathol. Lab. Med.107, 249–53.
3.
DaviesM. J. (1984) The cardiomyopathies; a review of terminology, pathology and pathogenesis. Histopathology8, 363–93.
4.
DunganW. T.GarsonA.GilletteP. C. (1981) Arrhythmogenic right ventricular dysplasia: A cause of ventricular tachycardia in children with apparently normal hearts. Am. Heart J.102, 745–50.
5.
FitchettD. H.SugrueD. D.MacArthurC. G.OakleyC. M. (1984) Right ventricular dilated cardiomyopathy. Br. Heart J.51, 25–9.
6.
FoaleR. A.NihoyannopoulasP.RibeiroP.McKennaW. J.OakleyC. M.KriklerD. M.RowlandE. (1986) Right ventricular abnormalities in ventricular tachycardia of right ventricular origin: relation to electrophysiological abnormalities. Brit. Heart. J.56, 45–54.
7.
FontaineG.GuiraudonG.FrankR.CabrolC.CrosgogeatY. (1979) Arrhythmogenic right ventricular dysplasia: a previously unrecognized syndrome. Circulation, 60 (suppl. 2), 65.
8.
GriggL. E.VohraJ. K.ChanW.JacksonD.HuntD. (1985) Arrhythmogenic right ventricular dysplasia: clinical, electrophysiological, and pathological features. Aust. N.Z. J. Med.15, 634–40.
9.
KennedyH. L.WhitlockJ. A. (1984) Sports-related sudden death in young persons. J. Am. Coll. Cardiol.3, 622.
10.
ManyariD. E.KleinG. J.GulamhuseinS.BoughnerD.GuiraudonG. M.WyseG.MitchellL. B.KostukW. J. (1983) Arrhythmogenic right ventricular dysplasia: a generalized cardiomyopathy?Circulation68, 251–7.
11.
MarcusF. I.FontaineG. H.GuiraudonG.FrankR.LaurenceauJ. L.MalergueC.GrosgogeatC. (1982) Right ventricular dysplasia: a report of 24 adult cases. Circulation65, 384–98.
12.
MaronB. J.RobertsW. C.McAllisterH. A.RosingD. R.EpsteinS. E. (1980) Sudden death in young athletes. Circulation62, 218–29.
13.
NugentE. W.SchlantR. C.PlauthW. H.WilliamsW. H.EdwardsJ. E. (1986) The pathology, abnormal physiology, clinical recognition, and medical and surgical treatment of congenital heart disease. In: The Heart. Ed. HurstJ. W., New York, McGraw-Hill Book Company. Pp 680–1.
14.
PietrasR. J.LamW.BauernfeindR.SheikhA.PalileoE.StrasbergB.SwirynS.RosenK. (1983) Chronic recurrent right ventricular tachycardia in patients without ischaemic heart disease: clinical, hemodynamic, and angiographic findings. Am. Heart. J.105, 357–66.
15.
RuderM. A.WinstonS. A.DavisJ. C.AbbotJ. A.EldarM.SheinmanM. M. (1985) Arrhythmogenic right ventricular dysplasia in a family. Am. J. Cardiol.56, 799–800.
16.
TsungS. H.HuangT. Y.HoH. Chang (1982) Sudden death in young athletes. Arch. Path. Lab. Med.106, 168–70.