Dilated phase of hypertrophic cardiomyopathy caused by Fabry disease with atrial flutter and ventricular tachycardia.
We describe a case of a 60-year-old male with dilated phase of hypertrophic cardiomyopathy caused by Fabry disease. He was diagnosed to have a cardiac variant of Fabry disease by an enzyme assay and a right ventricular endomyocardial biopsy which revealed specific features of this disease and cardiac involvement was the sole manifestation. He has developed dilated cardiomyopathy with sustained atrial flutter and frequent non-sustained ventricular tachycardia requiring isthmus ablation and cardiac resynchronization therapy with defibrillator.
Fukuzawa
Koji
K
Division of Cardiovascular Medicine, Department of Internal Medicine, Kobe University Graduate School of Medicine, 7-5-1 Kusunoki-Cho, Chuoh-Ku, Kobe 650-0017, Hyogo, Japan. kfuku@med.kobe-u.ac.jp
Yoshida
Akihiro
A
Onishi
Tetsuari
T
Suzuki
Atsushi
A
Kanda
Gaku
G
Takami
Kaoru
K
Kumagai
Hiroyuki
H
Torii
Satoko
S
Takami
Mitsuru
M
Fukuda
Yuko
Y
Kawai
Hiroya
H
Hirata
Ken-ichi
K
D001282:Atrial Flutter / Q000150:complications*; D002311:Cardiomyopathy, Dilated / Q000209:etiology / Q000628:therapy; D002312:Cardiomyopathy, Hypertrophic / Q000209:etiology* / Q000628:therapy; D004554:Electric Countershock; D000795:Fabry Disease / Q000150:complications*; D006801:Humans; D008297:Male; D008875:Middle Aged; D017180:Tachycardia, Ventricular / Q000150:complications*