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Transcatheter closure of atrial septal defect associated with arrhythmogenic right ventricular cardiomyopathy: a case report and literature review

Published online by Cambridge University Press:  30 September 2014

Haiyan Wang
Affiliation:
Department of Echocardiography, Shandong Provincial Qianfoshan Hospital, Shandong University, Jinan, Shandong Province, China
Hongyu Ding
Affiliation:
Department of Echocardiography, Shandong Provincial Qianfoshan Hospital, Shandong University, Jinan, Shandong Province, China
Lei Lei
Affiliation:
Electrocardiographic Room, Shandong Provincial Qianfoshan Hospital, Shandong University, Jinan, Shandong Province, China
Xiaohong Zhang
Affiliation:
Department of Echocardiography, Shandong Provincial Qianfoshan Hospital, Shandong University, Jinan, Shandong Province, China
Yuling Gong
Affiliation:
Department of Echocardiography, Shandong Provincial Qianfoshan Hospital, Shandong University, Jinan, Shandong Province, China
Yinglong Hou*
Affiliation:
Department of Cardiology, Shandong Provincial Qianfoshan Hospital, Shandong University, Jinan, Shandong Province, China
*
Correspondence to: Dr Y. Hou, MD, PhD, Department of Cardiology, Shandong Provincial Qianfoshan Hospital, Shandong University, 16766 Road Jingshi, Jinan 250014, China. Tel: +861 379 112 0810; Fax: +86-82-963-647; E-mail: houyinglong@sina.com

Abstract

Arrhythmogenic right ventricular cardiomyopathy is characterised by progressive, fibrofatty replacement of myocardium, and ventricular arrhythmias, and its prognosis is usually poor. Arrhythmogenic right ventricular cardiomyopathy associated with atrial septal defect is very rare, and this combination may make the diagnosis, treatment, and prognosis difficult. We present a case of a patient with this association who underwent interventional treatment with a septal defect occluder. Transcatheter closure of atrial septal defect in a patient with arrhythmogenic right ventricular cardiomyopathy is hitherto unreported. During a 3-year follow-up he remained relatively stable. We also review the cases reported in the medical literature describing this uncommon association between arrhythmogenic right ventricular cardiomyopathy and atrial septal defect or patent foramen ovale.

Type
Review Articles
Copyright
© Cambridge University Press 2014 

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References

1. Corrado, D, Basso, C, Thiene, G. Arrhythmogenic right ventricular dysplasia/cardiomyopathy: diagnosis, prognosis and treatment. Heart 2000; 83: 588595.CrossRefGoogle ScholarPubMed
2. Kanadasi, M, Tasal, A, Akpinar, O, Tercan, F, Acartürk, E. Different clinical presentations of arrhythmogenic right ventricular cardiomyopathy in two brothers. Anadolu Kardiyol Derg 2008; 8: 381392.Google Scholar
3. Marcus, FI, McKenna, WJ, Sherrill, D, et al. Diagnosis of arrhythmogenic right ventricular cardiomyopathy/dysplasia: proposed modification of the task force criteria. Circulation 2010; 121: 15331541.CrossRefGoogle ScholarPubMed
4. Franz, WM, Mullerb, OJ, Katusb, HA. Cardiomyopathies: from genetics to the prospect of treatment. Lancet 2001; 358: 16271637.CrossRefGoogle Scholar
5. Thiene, G, Basso, C, Calabreses, F, Angelini, A, Valente, M. Pathology and pathogenesis of arrhythmogenic right ventricular cardiomyopathy. Herz 2000; 25: 210215.Google Scholar
6. Gerrit, H, Stefan, AS, Stavros, K. Accidental left ventricular placement of a defibrillator probe due to a patent foramen ovale in arrhythmogenic right ventricular dysplasia. Acta Cardiol 2004; 59: 449451.Google Scholar
7. Cubero, JM, Gallego, P, Pavon, M. Arrhythmogenic right ventricular cardiomyopathy and atrial right-to-left shunt. Acta Cardiol 2002; 57: 443445.CrossRefGoogle ScholarPubMed
8. Sivasubramonian, S, Alphonso, N, Qureshi, SA, Anderson, D. Rapid evolution of right ventricular cardiomyopathy after surgical closure of a secundum atrial septal defect. Pediatr Cardiol 2004; 25: 541544.CrossRefGoogle ScholarPubMed
9. Kayser, HW, van der Wall, EE, Sivananthan, MU, Plein, S, Bloomer, TN, de Roos, A. Diagnosis of arrhythmogenic right ventricular dysplasia: a review. Radiographics 2002; 22: 639648.Google Scholar
10. Khairy, P, Landzberg, MJ, Gatzoulis, MA, et al. Transvenous pacing leads and systemic thromboemboli in patients with intracardiac shunts: a multicenter study. Circulation 2006; 113: 23912397.Google Scholar
11. Attie, F, Rosas, M, Granados, N, Zabal, C, Buendía, A, Calderón, J. Surgical treatment for secundum atrial septal defects in patients – 40 years old. J Am Coll Cardiol 2001; 38: 20352042.Google Scholar
12. Bartel, T, Muller, S. Device closure of interatrial communications: peri-interventional echocardiographic assessment. Eur Heart J Cardiovasc Imaging 2013; 14: 618624.CrossRefGoogle ScholarPubMed
13. Khalil, SI, Kamal, A, Ahmad, S. Arrhythmogenic right ventricular dysplasia presenting as acute coronary syndrome: a case report. Eur J Echocardiography 2004; 5: 394398.Google Scholar