An accordion not to be played

Riccardo Gorla, Ornella Rimoldi, Francesco De Cobelli, Alessandro Durante, Jacopo Pizzicannella, Paolo G. Camici

Research output: Contribution to journalArticle

Abstract

We present the case of a 52-year-old man with normal coronary arteries admitted to our department after being resuscitated from ventricular fibrillation. Transthoracic echocardiography raised suspicion of left-ventricular non-compaction. Cardiac magnetic resonance excluded this, but showed several systolic bulgings of the right ventricle and a characteristic focal 'crinkling' of the right-ventricular outflow tract known as the 'accordion' sign, a specific marker of desmosomal gene mutations, thus suggesting the presence of an arrhythmogenic cardiomyopathy. Extensive mid-myocardial late gadolinium enhancement and fatty infiltration, predominantly of the left ventricle, finally confirmed the diagnosis of left dominant arrhythmogenic cardiomyopathy, a rare variant of arrhythmogenic right-ventricular cardiomyopathy.

Original languageEnglish
Pages (from-to)S81-S83
JournalJournal of Cardiovascular Medicine
Volume16
DOIs
Publication statusPublished - Jan 1 2015

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Cardiomyopathies
Heart Ventricles
Arrhythmogenic Right Ventricular Dysplasia
Gadolinium
Ventricular Fibrillation
Echocardiography
Coronary Vessels
Magnetic Resonance Spectroscopy
Mutation
Genes

ASJC Scopus subject areas

  • Medicine(all)

Cite this

An accordion not to be played. / Gorla, Riccardo; Rimoldi, Ornella; De Cobelli, Francesco; Durante, Alessandro; Pizzicannella, Jacopo; Camici, Paolo G.

In: Journal of Cardiovascular Medicine, Vol. 16, 01.01.2015, p. S81-S83.

Research output: Contribution to journalArticle

Gorla, Riccardo ; Rimoldi, Ornella ; De Cobelli, Francesco ; Durante, Alessandro ; Pizzicannella, Jacopo ; Camici, Paolo G. / An accordion not to be played. In: Journal of Cardiovascular Medicine. 2015 ; Vol. 16. pp. S81-S83.
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