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Cardiac Amyloidosis in a Child Presenting with Syncope: The First Reported Case and a Diagnostic Dilemma

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Abstract

Cardiac amyloidosis is a rare cause of cardiomyopathy, reported exclusively in adults. We report the first known case presenting in childhood. A 12-year-old boy presented with syncope and diagnosed with ventricular non-compaction by echocardiography. Eventual genetic testing confirmed a TTR gene mutation associated with hereditary transthyretin amyloidosis.

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References

  1. Ruberg FL, Grogan M, Hanna M, Kelly JW, Maurer MS (2019) Transthyretin amyloid cardiomyopathy: JACC state-of-the-art review. J Am Coll Cardiol 73(22):2872–2891. https://doi.org/10.1016/j.jacc.2019.04.003

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  2. Rapezzi C, Merlini G, Quarta CC et al (2009) Systemic cardiac amyloidoses: disease profiles and clinical courses of the 3 main types. Circulation 120(13):1203–1212. https://doi.org/10.1161/CIRCULATIONAHA.108.843334

    Article  CAS  PubMed  Google Scholar 

  3. Maurer MS, Bokhari S, Damy T et al (2019) Expert consensus recommendations for the suspicion and diagnosis of transthyretin cardiac amyloidosis. Circ Heart Fail 12(9):e006075. https://doi.org/10.1161/CIRCHEARTFAILURE.119.006075

    Article  PubMed  PubMed Central  Google Scholar 

  4. Gillmore JD, Damy T, Fontana M et al (2018) A new staging system for cardiac transthyretin amyloidosis. Eur Heart J 39(30):2799–2806. https://doi.org/10.1093/eurheartj/ehx589

    Article  CAS  PubMed  Google Scholar 

  5. Damy T, Costes B, Hagège AA et al (2016) Prevalence and clinical phenotype of hereditary transthyretin amyloid cardiomyopathy in patients with increased left ventricular wall thickness. Eur Heart J 37(23):1826–1834. https://doi.org/10.1093/eurheartj/ehv583

    Article  PubMed  Google Scholar 

  6. Yuan L, Xie M, Cheng TO et al (2014) Left ventricular noncompaction associated with hypertrophic cardiomyopathy: echocardiographic diagnosis and genetic analysis of a new pedigree in China. Int J Cardiol 174(2):249–259. https://doi.org/10.1016/j.ijcard.2014.03.006

    Article  PubMed  Google Scholar 

  7. Rapezzi C, Quarta CC, Obici L et al (2013) Disease profile and differential diagnosis of hereditary transthyretin-related amyloidosis with exclusively cardiac phenotype: an Italian perspective. Eur Heart J 34(7):520–528. https://doi.org/10.1093/eurheartj/ehs123

    Article  CAS  PubMed  Google Scholar 

  8. Emdin M, Aimo A, Rapezzi C et al (2019) Treatment of cardiac transthyretin amyloidosis: an update. Eur Heart J 40(45):3699–3706. https://doi.org/10.1093/eurheartj/ehz298

    Article  CAS  PubMed  Google Scholar 

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Correspondence to Diana Milagros Torpoco Rivera.

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Torpoco Rivera, D.M., Williams, C.T. & Karpawich, P.P. Cardiac Amyloidosis in a Child Presenting with Syncope: The First Reported Case and a Diagnostic Dilemma. Pediatr Cardiol 43, 700–703 (2022). https://doi.org/10.1007/s00246-021-02778-9

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  • DOI: https://doi.org/10.1007/s00246-021-02778-9

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