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Europace 2005 7(4):345-347; doi:10.1016/j.eupc.2005.03.004
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© 2005 The European Society of Cardiology. Published by Elsevier Ltd. All rights reserved.

IMAGES IN ELECTROPHYSIOLOGY PACING

Arrhythmogenic right ventricular dysplasia presenting as right ventricular outflow tract tachycardia

Christian Sticherlinga,* and Markus Zabelb

aDivision of Cardiology, University Hospital Basel Petersgraben 4, 4031 Basel, Switzerland; bDivision of Cardiology, Charité-University Hospital Benjamin Franklin Berlin, Germany

Abstract

A case of a 51-year old male is presented. A left bundle branch block inferior axis tachycardia was manifest. At electrophysiological study this tachycardia was inducible and was ablated in the septal right ventricular outflow tract (RVOT). Two other tachycardias were identified both with right bundle branch block (RBBB) morphology raising the suspicion of diffuse pathology. Arrythmogenic right ventricular dysplasia (ARVD) was confirmed by right ventricular angiography and magnetic resonance imaging (MRI). An implantable cardioverter defibrillator (ICD) was implanted and an appropriate shock was later delivered.

Key Words: arrhythmogenic right ventricular dysplasia, idiopathic ventricular tachycardia, ablation, right ventricular outflow tract tachycardia

*Corresponding author. Tel.: +41 61 265 5214; fax: +41 61 265 4598. E-mail address: csticherling{at}uhbs.ch (C. Sticherling).


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