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Download Arrhythmogenic Right Ventricular Dysplasia (ARVD)
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Accredited by the American College of Radiology aic ADVANCED IMAGING CENTER PHYSICIAN NEWS www.advanced-imaging-center.com March 30, 2011 INTERESTING CASE PRESENTATION ARRHYTHMOGENIC RIGHT VENTRICULAR DYSPLASIA (ARVD) CLINICAL PRESENTATION: This is a 60-year old female who presented to Dr. Samuel Kojoglanian (Cardiologist in Valencia) with new onset arrhythmias and ventricular tachycardia noted on Holter. Echocardiogram findings were suspicious for Arrythmogenic Right Ventricular Dysplasia (ARVD). Therefore, the patient was referred to AIC-Valencia for a CT and MRI scans of the heart to rule out ARVD. IMAGING FINDINGS: The CT images on the top left demonstrate a somewhat irregular and dilate right ventricle with an irregular, fatty-infiltrated wall. The image on the right is an MRI image on another patient (from the ACR’s case-inpoint 3/30/2011). It shows similar findings and small aneurysms of the free wall. DIAGNOSIS: Arrythmogenic Right Ventricular Dysplasia/Cardiomyopathy (ARVD/ARVC). DISCUSSION: ARVD is a cardiomyopathy characterized by right ventricular arrhythmias. It can cause sudden death, particularly in young adults and athletes. It is usually familial due to a genetic defect resulting in atrophy of the right ventricular myocardium leading to fibrofatty replacement of the myocardium. TREATMENT: The treatment options for ARVD include anti-arrhythmic agents, implanted cardiac defibrillator devices and ventriculostomy, catheter ablations, or a heart transplant as a last resort. Please do not hesitate to call me with any questions. Ray Hashemi, MD Ray H. Hashemi, M.D., Ph.D. 43731 N. 15th St. West 25842 Tournament Road 607 W. Avenue Q 900 Heritage Dr., Bldg B Lancaster, CA 93534 Valencia, CA 91355 Palmdale, CA 93550 Ridgecrest, CA 93555 Tel: (661) 949-8111 Tel: (661) 255-0060 Tel: (661) 456-2020 Tel: (760) 446-1999 Fax: (661) 949-6600 www.aicLancaster.com Fax: (661) 255-0024 www.aicValencia.com Fax: (661) 456-2021 www.aicLancaster.com Fax: (760) 446-1910 www.aicLancaster.com Diplomat American Board of Radiology 43731 N. 15th St. West 25842 Tournament Road 607 W. Avenue Q 900 Heritage Dr., Bldg B Lancaster, CA 93534 Valencia, CA 91355 Palmdale, CA 93550 Ridgecrest, CA 93555 Tel: (661) 949-8111 Tel: (661) 255-0060 Tel: (661) 456-2020 Tel: (760) 446-1999 Fax: (661) 949-6600 www.aicLancaster.com Fax: (661) 255-0024 www.aicValencia.com Fax: (661) 456-2021 www.aicLancaster.com Fax: (760) 446-1910 www.aicLancaster.com
