Multimodality Imaging of Fabry Disease Cardiomyopathy Complicated With Coronary Vasospasm

Tomohiro Tahara, MD; Eisuke Usui, MD, PhD; Masahiro Hada, MD, PhD; Hiroki Ueno, MD; Tsunekazu Kakuta, MD, PhD

JACC: Case Reports (Apr 2024)

Multimodality Imaging of Fabry Disease Cardiomyopathy Complicated With Coronary Vasospasm

Tomohiro Tahara, MD,
Eisuke Usui, MD, PhD,
Masahiro Hada, MD, PhD,
Hiroki Ueno, MD,
Tsunekazu Kakuta, MD, PhD

Affiliations

Tomohiro Tahara, MD: Department of Cardiovascular Medicine, Tsuchiura Kyodo General Hospital, Tokyo, Japan
Eisuke Usui, MD, PhD: Department of Cardiovascular Medicine, Tsuchiura Kyodo General Hospital, Tokyo, Japan
Masahiro Hada, MD, PhD: Department of Cardiovascular Medicine, Tsuchiura Kyodo General Hospital, Tokyo, Japan
Hiroki Ueno, MD: Department of Cardiovascular Medicine, Tsuchiura Kyodo General Hospital, Tokyo, Japan
Tsunekazu Kakuta, MD, PhD: Address for correspondence: Dr Tsunekazu Kakuta, Department of Cardiovascular Medicine, Tsuchiura Kyodo General Hospital, 4-1-1, Otsuno, Tsuchiura, Ibaraki 300-0028, Japan.; Department of Cardiovascular Medicine, Tsuchiura Kyodo General Hospital, Tokyo, Japan

Journal volume & issue: Vol. 29, no. 7
p. 102257

Abstract

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A 41-year-old man with resting angina was diagnosed with a coronary vasospasm and subsequently with Fabry disease exhibiting low serum α-galactosidase A activity. High computed tomography (CT)–derived extracellular volume was detected in the apical inferior wall of the left ventricle suggesting myocardial fibrosis, potentially from vasospasm-related ischemia and/or microvascular dysfunction.

Published in JACC: Case Reports

ISSN: 2666-0849 (Online)
Publisher: Elsevier
Country of publisher: United States
LCC subjects: Medicine: Internal medicine: Specialties of internal medicine: Diseases of the circulatory (Cardiovascular) system
Website: https://www.journals.elsevier.com/jacc-case-reports

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Abstract

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