Re-entry Circuit in Ventricular Tachycardia Due to Focal Fatty-fibrosis in a Patient with Myotonic Dystrophy

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概要

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• A 69-year-old man with a recurrent ventricular tachycardia (VT) was admitted. The patient was diagnosed as myotonic dystrophy type 1 (DM1) and DNA analysis revealed 1,800 CTG-repeat expansion in the myotonic dystrophy protein kinase (DMPK) gene. Ultrasonic cardiogram (UCG), left ventriculogram (LVG) and magnetic resonance imaging (MRI) did not show any abnormal sign including fatty infiltration. But, endomyocardial biopsy obtained from ventricular outflow tract revealed severe fatty infiltration and interstitial fibrosis. Radiofrequency catheter ablation at the biopsy site could eliminate VT, so it was strongly suggested that the re-entry circuit was formed by focal fatty-fibrosis. Careful observation should be continued for a long period.

• 社団法人　日本内科学会の論文
• 2005-02-01

著者

• Tatsugami Fuminari

  Department Of Radiology Osaka Medical College

• Terasaki Fumio

  The Third Department of Internal Medicine, Osaka Medical College

• HANAFUSA TOSHIAKI

  Department of Internal Medicine and Molecular Science, Graduate School of Medicine, B5, Osaka Univer

• Hanafusa Toshiaki

  Department Of First Internal Medicine Osaka Medical College

• HOSHIGA Masaaki

  Department of First Internal Medicine, Osaka Medical College

• ISHIHARA Tadashi

  Department of First Internal Medicine, Osaka Medical College

• Muraoka Hideyuki

  Department of Emergency Medicine, Osaka Mishima Emergency and Critical Care Center

• Muraoka Hideyuki

  Osaka Mishima Emergency and Critical Care Medical Center

• Terasaki Fumio

  The Third Department Of Internal Medicine Osaka Medical College

• Muraoka Hideyuki

  1st Department Of Internal Medicine Osaka Medical College

• Negoro Nobuyuki

  1st Department Of Internal Medicine Osaka Medical College

• Negoro Nobuyuki

  Department Of Internal Medicine Hanwa Hospital

• Ishihara Tadashi

  Department Of First Internal Medicine Osaka Medical College

• Nakakohji Takahiro

  First Department Of Internal Medicine Osaka Medical College

• Kojima Shigeyuki

  First Department of Internal Medicine

• Hoshiga Masaaki

  Department Of First Internal Medicine Osaka Medical College

• Hosokawa Takafumi

  Department Of Internal Medicine Osaka Medical College

• NAKAKOJI Takahiro

  Department of Internal Medicine, Osaka Medical College

• KOJIMA Shigeyuki

  Department of Internal Medicine, Osaka Medical College

• SUGINO Masakazu

  Department of Internal Medicine, Osaka Medical College

• Sugino Masakazu

  Department Of Internal Medicine Hanwa Hospital

• Sugino Masakazu

  Department Of Internal Medicine Osaka Medical College

• Nakakoji Takahiro

  Department Of Internal Medicine Osaka Medical College

• Hoshiga Masaaki

  Department of Cardiology, Osaka Medical College, Japan

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