Aritmojenik Sag Ventrikül Displazısı ve Ani Genç Ölümleri
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Anahtar Kelimeler

ani ölüm
ARVD
adli ölümler
otopsi
morfoloji
sağ kalp

Nasıl Atıf Yapmalı

1.
Gülmen MK, Salaçin S, Tuncer İlhan. Aritmojenik Sag Ventrikül Displazısı ve Ani Genç Ölümleri. Bull Leg Med [Internet]. 01 Nisan 1997 [a.yer 20 Ekim 2019];2(1):35-8. Erişim adresi: https://www.adlitipbulteni.com/index.php/atb/article/view/200

Öz

Ani-beklenmedik ölümler ve mekanizmalarının açıklığa kavuşması adli tıp uygulamaları içinde önemli bir yer tutmaktadır. Son yıllarda tanımlanarak klasik kitaplarda yerini bulan Aritmojenik Sağ Ventriküler Displazi (ARVD), özellikle ani genç ve sporcu ölümlerinden sorumlu tutulmaktadır. Klinik tanı yöntemlerinin yanısıra, morfolojik olarak ta tanımlanabileceği ileri sürülmektedir. Anabilim dalımızda daha önce gerçekleştirilen iki ayrı çalışmada, patognomonik olduğu ileri sürülen morfolojik kriterlerin, rastgele seçilen populasyonda değişen oranlarda izlenmesi, bu konuda daha geniş serilerde çalışılarak morfometrik kriterlerin belirlenmesi gerekliliğini ortaya koymaktadır. Bu yazıda; ARVD'yi ani beklenmedik ölüm nedenleri açısından gündeme getirmek, ileri sürülen görüşleri destekleyen ve bu görüşlere ters düşen bulgulan tartışmak amacı güdülmüştür.

Anahtar Kelimeler: Ani ölüm, ARVD, Adli ölümler, Otopsi, Morfoloji, Sağ Kalp.

https://doi.org/10.17986/blm.199721200
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Kaynaklar

Wright RK. Sudden unexpected deaths. In Handbook of Forensic Pathology, Richard C. Froede ed. Northfield, Illinois:College of American Pathologists, 1990:86-95.

Gök Ş. ed. Adli Tip 4th ed. İstanbul: Filiz Kitapevi, 1980:52-96.

Raymond J R, van den Berg E K, Knapp M J. Nontraumatic prehospital sudden death in young adults. Arch Intern Med 1988;148:303-308.

Corrado D, Thiene G, Nava A, Rossi L, Pennelli N. Sudden death in young competitive athletes: Clinicopathologic correlations in 22 Cases. Am J Med 1990;89:588-596.

Volta D S. Arrhythmogenic cardiomyopathy of the right ventricle: Thoughts on aetiology. European Heart Journal 1989;10:(Supplement D) 2-6.

Thiene G, Nava A, Corrado D, Rossi L, Pennelli N. Right ventricular cardiomyopathy and sudden death in young people. The New England J Med 1988;318(3): 129-133.

Marcus FI, Fontaine GH, Guiraudon G, Frank R, Laurenceau JL, Malergue C, Grosgogeat Y. Right ventricular dysplasia: A report of 24 adult cases. Circulation 1982;65(2):384-398.

Zipes D P. Specific arrhythmias: Diagnosis and treatment. In Eugene Braunwald ed. Heart Disease A Textbook of Cardiovascular Medicine. 4rth ed. Philadelphia, London, Toronto, Montreal, Sydney, Tokyo: W.B. Saunders Company, 1993:706-707.

Zipes D P. Management of cardiac arrhythmias: Pharmacological, electrical and surgical techniques. In Eugene Braunwald ed. Heart Disease A Textbook of Cardiovascular Medicine. 4rth ed. Philadelphia, London, Toronto, Montreal, Sydney, Tokyo: W.B. Saunders Company, 1993:659-661.

Zipes D P. Specific arrhythmias: Diagnosis and treatment. In Eugene Braunwald ed. Heart Disease A Textbook of Cardiovascular Medicine. 4rth ed. Philadelphia, London, Toronto, Montreal, Sydney, Tokyo: W.B. Saunders Company, 1993: 697.

Smith W M. Mechanisms of cardiac arrhythmias and conduction disturbances. In J.Willis Hurst, Robert A. Schlant, Charles E.Rackley, Edmund H.Sonnenblick, Nanette Kass Wenger eds. The Heart Arteries and Veins. 7th ed. New York, St. Louis, San Francisco, Colorado Springs, Oklahoma City, Auckland, Bogota, Guatemala, Hamburg, Lisbon, London, Madrid, Mexico, Montreal, New Delhi, Paris, San Juan, Sao Paulo, Singapore, Sydney, Tokyo, Toronto: McGraw- Hill Company, 1992: 484.

Miller J M, Josephson M E. Ventricular arrhythmias. In William W.Parmley, Kanu Chatterjee, Melvin B. Cheitlin, Joel S.Karliner, Elliot Rapaport, Melvin M.Scheinman eds. Cardiology Physiology, Pharmacology, Diagnosis. 1st ed. Philadelphia, Grand Rapids, London, New York, St.Louis, San Francisco, Sydney, Tokyo: J.B.Lippincott Company, 1992: 4.

Caruso G, Frassanito F, Serio G, Pennella A. Is adipose tissue a normal component of the myocardium? European Heart Journal 1989; 10 (Supplement D): 89-91.

Bonacina E, Recalati F, Mangiavacchi M, Gronda E. Interstitial myocardial lipomatosis: a morphological study on endomyocardial biopsies and diseased hearts surgically removed for heart transplantation. European Heart Journal 1989; 10(Supplement D): 100-102.

Virmani MR, Robinowitz M, Clark CMA, McAllister CHA. Sudden death and partial absence of the right ventricular myocardium. Arch Pathol Lab Med 1982; 106: 163-167.

Strain JE, Grose RM, Factor SM, Fisher JD. Results of endomyocardial biopsy in patients with spontaneous ventricular tachycardia but without apparent structural heart disease. Circulation 1983; 68(6):1171-81.

Manyari DE, Klein GJ, Gulamhusein S, Boughner D, Guiraudon GM, Wyse G, Mitchell LB, Kostuk WJ. Arrhythmogenic right ventricular dysplasia: A generalized cardiomyopathy? Circulation 1983;68(2): 251-257.

Lie JT. Diagnostic histology of myocardial disease in endomyocardial biopsies and at autopsy. In Rosen PP, Fechner RE. eds. Pathology Annual, 1989;2: 254-293.

Lobo FV, Heggtveit HA, Butany J, Silver MD, Edwards JE. Right ventricular dysplasia: Morphological findings in 13 cases. Can J Cardiol 1992;8(3): 261-268.

Goodin JC, Farb A, Smialek JE, Field F, Virmani R. Right ventricular dysplasia associated with sudden death in young adults. Modern Pathol 1991 ;4(6): 702- 706.

Frustaci A. Right ventricular dysplasia vs. idiopathic dilated cardiomyopathy. European Heart Journal 1989;10(Supplement D): 92-94.

Pinamonti B, Sinagra G, Salvi A, Lenarda AD, Morgera T, Silvestri F, Bussani R, Camerini F. Left ventricular involvement in right ventricular dysplasia. Am Heart J 1992;123(3): 711-724.

Shoji T, Kaneko M, Onedero K, Konnno A, Hasegawa T, Ikeda T, Minase T, Uchiyama S, Iwamoto M. Arrhythmogenic right ventricular dysplasia with massive involvement of the left ventricle. Can J Cardiol 1991 ;7(7): 303-307.

Salaçin S, Tuncer İ, Birand A. The intersitisial adipose tissue component of right ventricular myocardium: A histological study on forensic autopsy materials. 4th.Annual Meeting of Mediterranean Association of Cardiology and Cardiac Surgery, 23-27 Sept.1990, Antalya,Turkey. IL Coure 1990;7 (Supplemento).- 235.

Salaçin S, Gülmen MK, Çekin N. A Morphological study on the fatty infiltration grades of right ventricle in non-cardiac cases. In Advances in Forensic Sciences, Jacob B, Bonte W. eds. Berlin: Verlag Dr.Köster, 1995:1: 29-34.

Mehta D, Odawara H, Ward DE, McKenna WJ, Davies MJ, Camm AJ. Echocardiographic and histologic evaluation of the right ventricle in ventricular tachycardias of left bundle branch block morphology without overt cardiac abnormality. Am J Cardiol 1989;63: 939-944.

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