case_images: PMC3120278_01
case_images: (a) 12-lead ECG recording of VT with left bundle branch block morphology. (b) 12-lead ECG with inverted T-waves and postexcitation epsilon wave in leads V1 to V4
case_images: JCDR-2-74-g001.jpg
case_images: PMC3120278_01_JCDR-2-74-g001.jpg
case_images: F1
case_images: Rest electrocardiogram displayed atrial fibrillation rhythm, epsilon wave, and negative T-waves in leads V1 to V4 [Figure 1].
case_images: Echocardiography image in the parasternal long axis showing severe dilation of the right ventricle and severe tricuspid valve regurgitation
case_images: JCDR-2-74-g002.jpg
case_images: PMC3120278_01_JCDR-2-74-g002.jpg
case_images: F2
case_images: It could be found from the echocardiography that there was severe dilation of the right ventricle, with a poor right ventricular (RV) systolic function and severe tricuspid valve regurgitation and decreased left ventricular ejection fraction [Figure 2].
case_images: MRI showing the dilation of RV and transmural fibrofatty replacement in the RV free wall
case_images: JCDR-2-74-g003.jpg
case_images: PMC3120278_01_JCDR-2-74-g003.jpg
case_images: F3
case_images: ARVC was most likely, the patient underwent a magnetic resonance imaging scan which revealed diffuse areas of fat tissue at the right ventricular wall especially at the free wall [Figure 3]. At the same time, multiple small aneurysms were also found.
case_images: (a) A gross photograph demonstrating the right ventricular with extensive fatty replacement primarily involving the lateral wall. (b) Typical histologic features of ARVC, ongoing myocyte death with early fibrosis and adipocyte infiltration
case_images: JCDR-2-74-g004.jpg
case_images: PMC3120278_01_JCDR-2-74-g004.jpg
case_images: F4
case_images: The general and cardiac biopsy findings demonstrated diagnosis was consistent with ARVC [Figure 4].