PMC3039626_01
Coronary angiography ruling out relevant coronary artery disease. Left coronary artery: a left anterior oblique projection with caudal (A) and cranial (B) angulation and a right anterior oblique projection with cranial (C) angulation. (D): right anterior oblique projection of the right coronary artery.
1471-2261-11-6-1.jpg
PMC3039626_01_1471-2261-11-6-1.jpg
F1
The actual coronary angiography revealed regular findings (Figure 1), while the cardiac MRI showed a remarkable left ventricular hypertrophy.
Cardiac MRI showing a marked hypertrophic cardiomyopathy. Balanced Fast Field Echo (bFFE) cine sequence, short axis view (A); 4 chamber view (B); a left ventricular hypertrophy with normal contractility was recognized. T1 weighted black blood Turbo spin echo sequence, short axis view (C); left ventricular hypertrophy is evident, specifically in the septal region. Corresponding view with transmural late Gadolinium enhancement (arrow) in the lateral wall using a T1 weighted inversion recovery 3D fast gradient echo sequence (D).
1471-2261-11-6-2.jpg
PMC3039626_01_1471-2261-11-6-2.jpg
F2
Furthermore a late Gadolinium enhancement imaging indicated a focal parenchymal fibrosis, which is a common finding in FD patients with cardiac involvement (Figure 2).
Cardiac troponin I levels in ng/ml (highest and lowest values) within 5 months.
1471-2261-11-6-3.jpg
PMC3039626_01_1471-2261-11-6-3.jpg
F3
Apart from slight fluctuations, the cTNI remained increased over this period (Figure 3).