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Arrhythmogenic right ventricular dysplasia (ARVD) is an inheritable heart muscle disease that predominantly affects the right ventricle (RV) and predisposes to ventricular arrhythmias and sudden cardiac death (SCD)  1  . The natural history is predominantly related to ventricular electric instability which may lead to arrhythmic SCD, mostly in young people and athletes  2,3  , but may progress with significant RV muscle disease and left-ventricular (LV) involvement and can result in right or biventricular heart failure  4  .  We report on a 54-year-old male with ARVD who underwent an epicardial ventricular tachycardia (VT) ablation using remote magnetic navigation (RMN) after functional imaging from a nuclear perfusion study was fused with a 3D segmentation from computed tomography (CT) imaging.

global cardiology science and practice

Epicardial ablation of ventricular tachycardia in a patient with arrhythmogenic right ventricular dysplasia after failed conventional endocardial ablation: A case for remote navigation with functional image integration