Cardiac involvement of primary hyperoxaluria accompanied by non-compaction cardiomyopathy and patent ductus arteriosus

Autor: Nurcan Arat, Murat Akyıldız, Gürkan Tellioğlu, Yaman Tokat
Jazyk: English<br />Turkish
Rok vydání: 2015
Předmět:
Zdroj: Türk Kardiyoloji Derneği Arşivi, Vol 43, Iss 3, Pp 288-291 (2015)
Druh dokumentu: article
ISSN: 1016-5169
DOI: 10.5543/tkda.2015.46026
Popis: Primary hyperoxaluria is a rare hereditary metabolic disorder resulting in accumulation of calcium oxalate in visceral organs, including the heart. We report a 19-year-old male with non- compaction cardiomyopathy combined with patent ductus arteriosus awaiting combined liver-kidney transplantation for primary hyperoxaluria. After surgical closure of the patent ductus arteriosus, the patient underwent a successful renal and subsequent liver transplantation. The presence of hypertrophic cardiomyopathy in hyperoxaluria patients has been reported before, but this is the first report of non-compaction myocardium with patent ductus arteriosus in a patient with primary hyperoxaluria. At the third month after combined liver and renal transplantation, improvement in cardiac functions were observed. Primary hyperoxaluria is a clinical entity to be taken into consideration in differential diagnosis of hypertrophied myocardium with high myocardial echocardiographic intensity. In cases of hyperoxaluria, additional congenital abnormalities may complicate the clinical picture.
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