title: Ventricular tachycardia from remote blunt chest trauma: combined epicardial-endocardial right ventricular substrate characterization.
abstract: Ventricular tachycardia as a late complication of blunt chest trauma has never been reported. We present a case of combined endocardial and epicardial delineation of the right ventricular arrhythmogenic substrate, where other causes of cardiomyopathy were excluded. The epicardial scar was more extensive than endocardial scar, and the central isthmus was likely intramural. A history of blunt chest trauma should be considered in patients with right ventricular cardiomyopathy.
authors.affiliation: UCLA Cardiac Arrhythmia Center, David Geffen School of Medicine at UCLA, Los Angeles, California San Diego Cardiac Center, San Diego, California 90095–1679, USA.
authors.forename: Yoav
authors.initials: Y
authors.lastname: Michowitz
authors.forename: Roderick
authors.initials: R
authors.lastname: Tung
authors.forename: Charles
authors.initials: C
authors.lastname: Athill
authors.forename: Kalyanam
authors.initials: K
authors.lastname: Shivkumar
mesh_terms: D006801:Humans; D008297:Male; D008875:Middle Aged; D017180:Tachycardia, Ventricular / Q000175:diagnosis* / Q000209:etiology*; D013898:Thoracic Injuries / Q000150:complications* / Q000175:diagnosis*; D018497:Ventricular Dysfunction, Right / Q000175:diagnosis / Q000209:etiology*; D014949:Wounds, Nonpenetrating / Q000150:complications* / Q000175:diagnosis*