Skip to main content
SpringerLink
Log in

MR imaging of arrhythmogenic right ventricular dysplasia

  • Published:
The International Journal of Cardiovascular Imaging Aims and scope Submit manuscript

Abstract

Arrhythmogenic right ventricular displasia (ARVD) is a heart disease characterized by a total or partial fat replacement of the myocardium. Echocardiography, which has been most commonly used for the diagnosis of ARVD, usually only demonstrates right ventricular enlargement with associated hypokinesia and with normal left ventricular chamber size. Angiocardiography is very effective in the evaluation of ARVD, especially, in the detection of wall motion abnormalities and bulgings. However, angiocardiography is invasive. Magnetic resonance imaging is a non-invasive, repeatable technique, which allows a more accurate evaluation of the right ventricular chamber and free wall. Therefore MRI is very effective in the differentiation of the high signal intensity of the fat from other medium intensity tissue, such as muscle, and in detection of fibro-fatty replacement of myocardium. It provides an accurate assessment of right-chamber enlargement, right ventricle outflow tract ectasia and wall motion abnormalities by cine-MR GE technique.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References

  1. Thiene G, Nava A, Corrado D, et al. Right ventricular cardiomyopathy and sudden death in young people. N Engl J Med 1988; 318: 129.

    Google Scholar 

  2. Daliento I, Turini P, Nava A, et al. Arrhythmogenic right ventricular cardiomyopathy in young versus adult patients: similarities and differences. JACC 1995; 25: 655.

    Google Scholar 

  3. Marcus FJ, Fontaine GH, Guiradon G, et al. Right ventricular dysplasia: a report of 24 cases. Circulation 1982; 25: 665.

    Google Scholar 

  4. Maresi E, Albano N, Procaccianti P, Campesi G. Displasia del ventricolo destro e morte improvvisa giovanile. G Ital Cardiol 1990; 20: 55.

    Google Scholar 

  5. Segal HN. Parchment heart (Osler). Am Heart J 1950; 40: 948.

    Google Scholar 

  6. Blake LM, Scheinmann MM, Higgins CB. MR features of arrhythmogenic right ventricular dysplasia. AJR 1994; 162: 809.

    Google Scholar 

  7. Fontaine G, Frank R, Fontaliran F, et al. Right ventricular tachycardias. In: Parmley WW, Chattarjee K editors. Cardiology. Philadelphia: Lippincott, 1991; 1-17.

    Google Scholar 

  8. Rizzon P. Polymorphism of the clinical picture. Eur Heart J 1989; 10(suppl D): 10.

    Google Scholar 

  9. Buggiandini R, Pelliccia F. Diagnosi di dysplasia ventricolare destra. In: Buggiardini R, editor. Cardiologia. Milano: Carlo Erba, 1992; 128-131.

    Google Scholar 

  10. Uhl S. Previously undescribed congenital malformation of the heart: almost total absence of the myocardium of the right ventricle. Bull Johns Hopkins 1972; 91: 197.

    Google Scholar 

  11. Rossi PA. Arrhythmogenic right ventricular dysplasia: clinical features. Eur Heart J 1989; 10(suppl D): 7.

    Google Scholar 

  12. Duerinckx AJ, Higgins CB. Case 98. In: Duerinckx AJ, Higgins CB, Pettigrew RI, editors. MRI of the cardiovascular system. New York: Raven Press, 1994; 266-267.

    Google Scholar 

  13. Manyari D, Duff HA, Kostuk WJ, et al. Usefullness of noninvasive studies for the diagnosis of right ventricular dysplasia. Am J Cardiol 1986; 57: 1147.

    Google Scholar 

  14. Conte MR, Presbitero P, Gaita F, et al. L'aspetto angiografico della dysplasia aritmogena del ventricolo destro. G Ital Cardiol 1989; 19: 580.

    Google Scholar 

  15. Scognamiglio R, Fasoli G, Nava A. Contribution of cross-sectional echocardiography to the diagnosis of right ventricular dysplasia at the asymptomatic stage. Eur Heart J 1989; 10: 538.

    Google Scholar 

  16. White RD, Trohman RG, Flamm SD, et al. Right ventricular arrhyhmia in the absence of arrhythmogenic dysplasia: MR Imaging of myocardial abnormalities. Radiology 1998; 207: 743.

    Google Scholar 

  17. Auffermann W, Wichter T, Breithard G, et al. Arrhythmogenic right ventricular disease: MR imaging vs angiography. AJR 1993; 161: 549.

    Google Scholar 

  18. Midiri M, Finazzo M, Brancato M, et al. Arrhythmogenic right ventricular dysplasia: MR features. Eur Radiol 1997; 7: 307.

    Google Scholar 

  19. Ricci C, Longo R, Pagnan L, et al. Magnetic resonance imaging in right ventricular dysplasia. Am J Cardiol 1992; 70: 1589.

    Google Scholar 

  20. Strain JE, Grose RM, Factor SM, et al. Results of endomyocardial biopsy in patients with spontaneous ventricular tachycardia, but without apparent structural heart disease. Circulation 1983; 68: 1171.

    Google Scholar 

  21. Bartolozzi C, Casolo GC, de Dominicis R. La Risonanza Magnetica nello studio delle displasie cardiache. Radiol Med 1990; 80: 131.

    Google Scholar 

  22. Di Guglielmo L, Montemartini C. Le cardiomiopatie primitive. Radiol Med 1993; 85: 701.

    Google Scholar 

  23. Raisaro A, Bargiggia GS, Klersy C, et al. La Risonanza Magnetica nelle cardiomiopatie dilatative, restrittive e artimogene. Radiol Med 1990; 80: 118.

    Google Scholar 

  24. Molinari G, Sardanelli F, Gaita F, et al. Right ventricular dysplasia as generalized cardiomyopathy? Findings on magnetic resonance imaging. Eur Heart J 1995; 16: 1619.

    Google Scholar 

  25. Carotti L, Higgins CB. The role of MR imaging in the evaluation of acquired cardiovascular disease. Radiol Med 1996; 91: 677.

    Google Scholar 

  26. Higgins CB, Caputo GR. Role of MR imaging in the evaluation of acquired and congenital cardiovascular disease. AJR 1993; 161: 3.

    Google Scholar 

  27. Blackwell GG, Cranney BC, Pohost GM. Normal cardiovascular anatomy. In: Blackwell GG, Cranney BC, Pohost GM, editors MRI: cardiovascular system. New York: Gower, 1992; 3.1-3.17.

    Google Scholar 

  28. Mc Kenna WJ, et al. Diagnosis of arrhythmogenic right ventricular dysplasia/cardiomyopathy. On the behalf of the Task Force. Br Heart J 1994; 71: 215.

    Google Scholar 

  29. Carlson MD, White RD, Trohman RG, et al. Right ventricular outflow tract ventricular tachycardia: detection of previously unrecognized anatomic abnormalities using cine magnetic resonance imaging. J Am Coll Cardiol 1994; 24: 720.

    Google Scholar 

  30. Lentschig MG, Wichter T, Reimer P, et al. Magnetic resonance imaging in diagnosis of arrhytumogenic right ventricular cardiomyopathy: correlation to other diagnostic modality. Radiology 1998; 209(P): 263.

    Google Scholar 

  31. Kayser HW, Reddy GP, Van Der Wall EE, et al. MR imaging of patients with right ventricular tachycardia of LBBB morphology: ARVD and RVOT abnormalities. Radiology 1998; 209(P): 262.

    Google Scholar 

  32. Sommer T, Lewalter T, Bierhoff E, et al. MRI diagnosis of right ventricular dysplasia. RoFo 1998; 169: 609-615.

    Google Scholar 

  33. Raoul G, Germain P, Coulbois PM, et al. MRI semeiology of segmental contraction abnormalities in arrhythmogenic dysplasia of the right ventricle. J Radiol 1998; 79: 541-547.

    Google Scholar 

  34. Furber A, Victor JJ, Merheb M, et al. Is the presence of right ventricular high intensity signals sufficient for the diagnosis of right ventricular dysplasia? Arch Mal Coeur Vaiss 1996; 89: 1167-1175.

    Google Scholar 

  35. Stehling MK, Holzknecht NG, Laub G, et al. Single shot T1 and T2-weighted magnetic resonance imaging of the heart with black blood: preliminary experience. MAGMA 1996; 4: 231.

    Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Istituto di Radiologia P. Cignolini, Policlinico Universitario P. Giaccone, Palermo, Italy

    Massimo Midiri & Mario Finazzo

  2. Istituto di Radiologia, Policlinico Universitario, Bari, Italy

    Massimo Midiri

Authors
  1. Massimo Midiri
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Mario Finazzo
    View author publications

    You can also search for this author in PubMed Google Scholar

Rights and permissions

Reprints and permissions

About this article

Cite this article

Midiri, M., Finazzo, M. MR imaging of arrhythmogenic right ventricular dysplasia. Int J Cardiovasc Imaging 17, 297–304 (2001). https://doi.org/10.1023/A:1011628121778

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1023/A:1011628121778

Search

Navigation