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Case Reports in Cardiology
Volume 2015 (2015), Article ID 790246, 3 pages
http://dx.doi.org/10.1155/2015/790246
Case Report

Isolated Right Ventricular Myocarditis: Rarely Reported Pathology

1Department of Internal Medicine, Mount Sinai Icahn School of Medicine, St. Luke’s Roosevelt Hospital, New York, NY 10027, USA
2Department of Internal Medicine, UPMC Montefiore/Presbyterian Hospital, University of Pittsburgh Medical Center, Pittsburgh, PA 15213, USA

Received 1 July 2015; Revised 19 August 2015; Accepted 27 August 2015

Academic Editor: Gianluca Di Bella

Copyright © 2015 Hafeez Ul Hassan Virk and Muhammad Bilal Munir. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Objective. Preventing the morbidity and mortality from isolated right ventricular myocarditis by its early recognition and treatment. Background. The clinical presentation of myocarditis ranges from nonspecific systemic symptoms (fever, myalgia, palpitations, or exertional dyspnea) to fulminant cardiac failure and sudden death. In our case, echocardiography raised the possibility of myocarditis at an early stage, although the signs and symptoms did not indicate right ventricular disease. Review of the literature showed only 4 previous reports, all diagnosed at autopsy, in which diagnosis was not suspected in vivo. Design/Methods. We are reporting case of a 23-year-old male with no past medical history who presented to emergency room with a nonexertional sharp left sided chest pain. Diagnostic tests were conducted, which revealed elevated troponins, decreased right ventricular ejection function but preserved left ventricular function, and no evidence of coronary artery disease. Results. A diagnosis of isolated right ventricular myocarditis was made on the basis of clinical, echocardiographic, and cardiac MRI findings. Conclusions. Isolated right ventricular myocarditis should be suspected in a patient with depressed right ventricular function without left ventricular involvement on echocardiography and cardiac MRI, elevated cardiac enzymes, and no evidence of coronary artery disease.