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KMID : 0390620160240040324
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Journal of Cardiovascular Ultrasound
2016 Volume.24 No. 4 p.324 ~ p.328
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Fabry Disease Presenting with Hypertrophic Cardiomyopathy and Tricuspid Regurgitation
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Cho Sang-Cheol
Yoo Han-Wook
Lee Jae-Won
Jang Jeong-Yoon
Heo Ran
Song Jong-Min
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Abstract
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A 71-year-old female who was diagnosed with nonobstructive hypertrophic cardiomyopathy since 1999 presented with dyspnea and severe edema on both legs. For the management of her symptom, cardiac surgery including tricuspid annuloplasty, Maze operation and right atrial reduction plasty was performed. During follow-up after cardiac surgery, a plasma α-galactosidase activity was checked for the screening of Fabry disease and the result was around lower normal limit. DNA analysis was implemented for confirmation and it revealed a heterozygote α-galactosidase mutation at exon 6 [c.901C>T (p.Arg301Ter)]. This case suggests that Fabry disease might be easily undetected, and clinical suspicion is critical.
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KEYWORD
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Fabry disease , Hypertrophic cardiomyopathy , Tricuspid regurgitation
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