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Case reports

Not letting the left side know what the right is doing!

Wessex Cardiothoracic Centre, Southampton University Hospitals Trust, Tremona Road, Southampton SO16 6YD, UK

Received 26 April 2007; received in revised form 19 November 2007; accepted 20 November 2007.

^_* Corresponding author. Address: Wessex Cardiothoracic Centre, E Level, East Wing, Mail Point 46, Southampton General Hospital, Tremona Road, Southampton SO16 6YD, UK. (Email: jmm{at}cardiology.co.uk).

Arrhythmogenic right ventricular dysplasia (ARVD) encompasses a spectrum of presentations including ventricular tachycardia, sudden cardiac death and heart failure. Complete right ventricular disarticulation was effective in a young athletic male who was refractory to drug therapy and experienced recurrent shock therapies from an implantable cardioverter-defibrillator that were incapacitating. The case highlights the challenging management of ARVD despite over two decades of research and the resurgent interest in ventricular disarticulation.

Key Words: Arrhythmogenic right ventricular dyspasia (ARVD) • Ventricular tachycardia • Right ventricular disarticulation • Implantable cardioverter-defibrillator