Apical Left Ventricular Hypertrophy and Mid‐Ventricular Obstruction in Fabry Disease. Issue 5 (13th February 2015)

• Record Type: Journal Article
• Authors: Cianciulli, Tomás F.; Saccheri, María C.; Fernández, Segundo P.; Fernández, Cinthia C.; Rozenfeld, Paula A.; Kisinovsky, Isaac
• Is Part Of: Echocardiography. Volume 32:Issue 5(2015:May)
• Page Start: 860
• Page End: 863
• Publication Date: 2015-02-13
• Subjects: Fabry disease -- transthoracic echocardiography -- apical and mid‐left ventricular hypertrophic cardiomyopathy -- mid‐left ventricular obstruction; Echocardiography -- Periodicals; Echocardiography -- Periodicals; 616.1207543
• DOI: 10.1111/echo.12900
• Languages: English
• ISSNs: 0742-2822

Abstract

Abstract : We report the case of a rare cardiac presentation of Fabry disease. Although concentric left ventricular hypertrophy is a major cardiac finding in Fabry disease, there is no case report of dynamic obstruction at mid‐left ventricular level. We describe a 59‐year‐old‐woman suffering from a severe form of Fabry disease, mimicking an apical hypertrophic cardiomyopathy with mid‐ventricular obstruction. Differentiation of Fabry disease from hypertrophic cardiomyopathy is crucial given the therapeutic and prognostic differences. Fabry disease should always be suspected in an adult, independently of the pattern of left ventricular hypertrophy. Mini‐Abstract: We report the case of a rare cardiac presentation of Fabry disease. Although concentric left ventricular hypertrophy is a major cardiac finding in Fabry disease, there is no case report of dynamic obstruction at mid‐left ventricular level. We describe a 59‐year‐old‐woman suffering from a severe form of Fabry disease, mimicking an apical hypertrophic cardiomyopathy with mid‐ventricular obstruction. Differentiation of Fabry disease from hypertrophic cardiomyopathy is crucial given the therapeutic and prognostic differences. Fabry disease should always be suspected in an adult, independently of the pattern of left ventricular hypertrophy.