2006, Number 4
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Arch Cardiol Mex 2006; 76 (4)
Uhl´s anomaly. A case report
Cadavid BAM, Díaz MLH, Lince VR, Delgado BJA
Language: Spanish
References: 10
Page: 419-423
PDF size: 172.07 Kb.
ABSTRACT
Uhl´s anomaly is a rare cardiomyopathy characterized by a thin walled dilated right ventricle due to the absence of myocardium. This could be due to an alteration in embriological development or the presence of massive apoptosis in the right ventricle myocardium. It generally manifests as cardiac failure, and the diagnosis is made by echocardiography and magnetic resonance. The response to medical treatment is poor and there is no known ideal treatment. Isolated cases of different surgical options have been described that include cardiac transplant, but there is still a poor prognosis and a high mortality rate. The case of a 10 year old girl with six months of thoracic pain and decreased exercise tolerance with echocardiographic and resonance findings characteristic of Uhl´s anomaly is presented.
REFERENCES
Uhl H: Uhl’s Anomaly Revisited. Circulation 1996; 93(8): 1483-1484.
Ikari NM, Azeka E, Aiello VD, Atik E, Barbero-Marcial M, Ebaid M: Uhl’s Anomaly. Differential Diagnosis and Indication for Cardiac Transplantation in an Infant. Arq Bras Cardiol 2001; 77(1): 73-76.
Gerlis L: Uhl’s anomaly. Orphanet encyclopedia. 2003 enero. Disponible en: URL: http://www.orpha.net/data/patho/GB/uk-uhl.pdf.
Hoback J, Adicoff A, From AH, Smith M, Shafer R, Chesler E: A report of Uhl’s disease in identical adult twins: evaluation of right ventricular dysfunction with echocardiography and nuclear angiography. (Abstract) Chest 1981; 79: 306-310.
James T: Normal and abnormal consequences of apoptosis in the human heart. (Abstract) Annu Rev Physiol 1998; 60: 309-325.
James TN, Nichols MM, Sapire DW, DiPatre PL, Lopez SM: Complete heart block and fatal right ventricular failure in an infant. Circulation 1996; 93: 1588-1600.
Yoshii S, Suzuki S, Hosaka S, Osawa H, Takahashi W, Takizawa K et al: A case of Uhl anomaly treated with one and a half ventricle repair combined with partial right ventriculectomy in infancy. J Thorac Cardiovasc Surg 2001; 122 (5): 1026-1028.
Yu HS, Chen YS, Tseng WY, Lin FY: Combined right atrial and ventricular reduction operation: Case report of unrolling-rolling of the right ventricle to preserve ventricular muscle orientation. J Thorac Cardiovasc Surg 2002; 124: 1045-1047.
Greer ML, MacDonald C, Adatia I: MRI of Uhl’s Anomaly. Circulation 2000; 101: e230-e232.
Naccarella F, Naccarelli G, Fattori R, Nava A, Martini B, Corrado D et al: Arrhythmogenic Right Ventricular Dysplasia: cardiomyopathy current opinions on diagnostic and therapeutic aspects. Curr Opin Cardiol 2001; 16: 8-16.