Arrhythmogenic right ventricular cardiomyopathy/dysplasia (Naxos disease) in a case of rheumatic heart disease – A rare occurrence Anup Taksande, Hetan.

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Arrhythmogenic right ventricular cardiomyopathy/dysplasia (Naxos disease) in a case of rheumatic heart disease – A rare occurrence Anup Taksande, Hetan Shan, Anuj Sathe Journal of Indian College of Cardiology Volume 4, Issue 3, Pages 186-190 (September 2014) DOI: 10.1016/j.jicc.2014.02.014 Copyright © 2014 Indian College of Cardiology Terms and Conditions

Fig. 1 A – Baseline electrocardiogram with epsilon waves, B – Ventricular tachycardia arising from RVOT (LBBB morphology with left axis deviation), C – Ventricular tachycardia arising from LVOT (RBBB morphology with left axis deviation). Journal of Indian College of Cardiology 2014 4, 186-190DOI: (10.1016/j.jicc.2014.02.014) Copyright © 2014 Indian College of Cardiology Terms and Conditions

Fig. 2 Two-dimensional echo – Apical four chamber showing (A) Dilated Right Ventricle and Atrium (B)Short axis showing Rheumatic affection of mitral valve (C) Parasternal long axis view – rheumatic affection of mitral valve (D) Color Doppler showing gradient across mitral valve. Journal of Indian College of Cardiology 2014 4, 186-190DOI: (10.1016/j.jicc.2014.02.014) Copyright © 2014 Indian College of Cardiology Terms and Conditions

Fig. 3 MRI heart showing right ventricular dilation and infiltration. Journal of Indian College of Cardiology 2014 4, 186-190DOI: (10.1016/j.jicc.2014.02.014) Copyright © 2014 Indian College of Cardiology Terms and Conditions

Fig. 4 Clinical photograph of patient with Naxos Syndrome and RHD A – Woolly hair, B – Plantar keratoderma C – Palmar keratoderma. Journal of Indian College of Cardiology 2014 4, 186-190DOI: (10.1016/j.jicc.2014.02.014) Copyright © 2014 Indian College of Cardiology Terms and Conditions