Published in:
01-10-2009 | Subject of the Year
Toward early diagnosis in arrhythmogenic right ventricular dysplasia/cardiomyopathy
Author:
Richard N. W. Hauer
Published in:
Journal of Interventional Cardiac Electrophysiology
|
Issue 1/2009
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Excerpt
Arrhythmogenic right ventricular dysplasia/cardiomyopathy (ARVD/C) is a myocardial disease which is histologically mainly localized in the right ventricle (RV) [
1‐
3]. Histology shows fibrofatty replacement of the myocardium. At autopsy, diagnosis is usually straightforward. In the clinical setting, tissue is obtained by RV endomyocardial biopsies. For safety reasons, sampling is usually carried out from the interventricular septum to avoid perforation of the affected thin RV free wall. However, histologic diagnosis by endomyocardial biopsy is hampered by (1) the often focal nature of the disease, (2) only subendocardial tissue sampling, and (3) interventricular septum rarely involved in the disease process. …