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KMID : 0357820030270010101
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Korean Journal of Legal Medicine
2003 Volume.27 No. 1 p.101 ~ p.105
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Arrhythmogenic Right Ventricular Dysplasia/Cardiomyopathy: Report of an Autopsy Case.
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Lee Sang-Yong
Lee Ju-Han
Seo Joong-Seok
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Abstract
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Arrhythmogenic right ventricular dysplasia/cardiomyopathy (ARVD/C) is characterized histologically by massive infilteration of right ventricular wall by fat tissue with surviving strands of cardiomyocytes bordered by or embedded in fibrosis. ARVC has been recognized as a cause of sudden death, especially in the young. We report an autopy case of ARVD/C in a 35-year-old female. She was found dead in her house under apparently natural circumstances. The autopsy revealed a dilated 340-gram heart with a fibrofatty replacement of the right ventricular myocardium. On the review of her past medical history, she had taken medical examination for prolonged general weakness about 1 year prior to death. At that time the echocardiogram revealed dilatation of right ventricular cavity size and moderately decreased left ventricular systolic function, the electrocardiogram revealed R>S at V1 lead and T-wave inversion at V1-V3 leads. To the best of our knowledge, this is the second autopsy case of ARVD/C, reported in the literature of Korea.
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KEYWORD
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Right ventricular dysplasia/cardiomyopathy, Arrhythmogenic cardiomyopathy Sudden death
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