JACC: Case Reports (Feb 2020)

Progressive Thinning of the Basal Interventricular Septum by Giant Cell Myocarditis

  • Arthur Iturriagagoitia, MD,
  • Vanessa Meert, MD,
  • Jeroen De Cocker, MD,
  • Martin Penicka, MD, PhD,
  • Ward Heggermont, MD, PhD,
  • Marc Vanderheyden, MD

Journal volume & issue
Vol. 2, no. 2
pp. 180 – 185

Abstract

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We describe a patient with ventricular tachycardia and complete atrioventricular block. Remarkable thinning of the basal interventricular septum preceded left ventricular dysfunction. Endomyocardial biopsy demonstrated giant cell myocarditis. The patient received combined immunosuppressive therapy and a cardioverter-defibrillator. Eligibility screening for heart transplantation was initiated. (Level of Difficulty: Advanced.)

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