Mitochondrial Cardiomyopathy: Distinctive Cardiac Phenotype Detected with Cardiovascular MRI

Autor: Stephan A. C. Schoonvelde, Claudine W. B. Ruijmbeek, Judith M. A. Verhagen, Debby M. E. I. Hellebrekers, Marcel J. M. Kofflard, Michelle Michels, Alexander Hirsch
Přispěvatelé: Clinical Genetics, Radiology & Nuclear Medicine, Cardiology
Rok vydání: 2023
Předmět:
Zdroj: Radiology: Cardiothoracic Imaging, 5(2):e230014. Radiological Society of North America Inc.
Radiol Cardiothorac Imaging
ISSN: 2638-6135
DOI: 10.1148/ryct.230014
Popis: Left ventricular hypertrophy (LVH) has a broad differential diagnosis. Pathogenic variants of mitochondrial DNA are a rare cause of LVH, and cardiac MRI is a powerful technique that may aid in differentiating such rare causes. This case report presents three siblings with a pathogenic variant of the mitochondrially encoded tRNA isoleucine (MT-TI) gene. A distinctive cardiac phenotype was detected with cardiac MRI. Extensive LVH and dilatation and decreased ejection fraction were observed with a pattern of increased T2 signal and extensive late gadolinium enhancement, which was remarkably consistent among all three siblings. Keywords: Cardiomyopathies, MR Imaging, Hypertrophic Cardiomyopathy, Mitochondrial, Inherited Cardiomyopathy, Left Ventricular Hypertrophy, Cardiovascular MRI, Late Gadolinium Enhancement Supplemental material is available for this article. © RSNA, 2023
Databáze: OpenAIRE