A case of arrhythmogenic right ventricular cardiomyopathy with biventricular involvement

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Filippo Brandimarte *
Alessandro Battagliese
Silvana Petronilla Pirillo
Maria Teresa Mallus
Rosa Maria Manfredi
Giovanni Carreras
(*) Corresponding Author:
Filippo Brandimarte | brandimarte.filippo@gmail.com


We reported a case of a young adult male aged 18 years admitted in our institution for syncope during a basketball match. No previous symptoms were reported. Electrocardiogram (ECG) showed T-wave inversion in the anterior leads and an incomplete right bundle branch block. Surprisingly, a complete echocardiographic evaluation demonstrated the presence of severe right ventricular enlargement with significant wall motion abnormalities, apical aneurysm and reduced systolic function. Cardiac Magnetic Resonance was pathognomonic for a fibro-fatty replacement of both ventricles. We decided for a subcutaneous defibrillator implantation and, after inducing a ventricular fibrillation to test the device status, epsilon wave appeared on the ECG. This clinical scenario depicted an advanced arrhythmogenic right ventricular cardiomyopathy at its first clinical manifestation.

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