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A Case of ARVD with Left Ventricular Involvement Masatsugu Uchida 1 , Kazuo Matsumoto 1 , Yukio Asano 1 , Yuuichi Yamada 1 , Masaya Sai 1 , Chikashi Suga 1 , Masayuki Ushiyama 1 , Junichi Saitou 1 , Toshio Yamamoto 1 , Yutaka Dohi 1 , Hirosi Matsuo 1 , Hiroshi Watanabe 2 1The Second Department of Internal Medicine, Saitama Medical School 2The Second Department of Pathology, Saitama Medical School Keyword: 不整脈源性右室異形成 , 左室病変 , 線維化 , arrhythmogenic right ventricular dysplasia , left ventricular involvement , fibrotic changes pp.1129-1132
Published Date 1995/11/15
DOI https://doi.org/10.11477/mf.1404901152
  • Abstract
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A case of arrhythmogenic right ventricular dysplasia (ARVD) with left ventricular involvement revealed by autopsy was reported. The patient was a 41-year-old male who had been admitted for sudden onset of palpi-tation and a sensation of chest oppression and who had been diagnosed as ARVD, was treated and controlled with disopyramide at 300mg/day. He was admitted again for exertional dyspnea and palpitation after 5 years and seven months. The ventricular tachycardia and congestive heart failure were resistant to medical treatment, and he died on the 13th hospital day. Autopsy revealed not only typical changes of marked depletion of the right ventricular musculature of the heart with marked infiltration of adipose tissue, but also focal infiltration of adipose tissue and prominent fibrosis in the left ventricle. Such an autopsy case of ARVD with left ventricular involvement has rarely been reported and was thought to be instructive in consideration of the genesis of ARVD.


Copyright © 1995, Igaku-Shoin Ltd. All rights reserved.

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電子版ISSN 1882-1200 印刷版ISSN 0452-3458 医学書院

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