Right ventricular endomyocardial fibrosis presenting with ventricular tachycardia and apical thrombus--an interesting presentation.
Endomyocardial fibrosis is a progressive disease of unknown origin affecting children and young adults. It involves inflow portion of right and/or left ventricle and apex. It may be associated with thrombus. Literature regarding right ventricular endomyocardial fibrosis with thrombus is scarce. Here we report a rare case of right ventricular endomyocardial fibrosis presenting as ventricular tachycardia and echocardiographic evidence of apical thrombus. Interestingly there was no pulmonary involvement or evidence of deep venous thrombosis. This case also underscores the importance of urgent echocardiography in diagnosis of obscure cases of ventricular tachycardia.
Aggarwal
Amitesh
A
Department of Medicine/ Preventive Cardiology, University College of Medical Sciences, University of Delhi & GTB Hospital, Delhi-110095.
Sinha
Bineet
B
Rajpal
Surender
S
Dwivedi
Shridhar
S
Sharma
Vishal
V