肥厚型心肌病和非典型安德森-法布里病患者的室间隔髓质切除术

IF 4.6 Q2 MATERIALS SCIENCE, BIOMATERIALS
Alexandr Gurschenkov, Sofiya Andreeva, Vadim Zaitsev, Pavel Khazov, Gleb Ischmukhametov, Alexandra Kozyreva, Polina Sokolnikova, Olga Moiseeva, Anna Kostareva, Mikhail Gordeev
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引用次数: 0

摘要

安德森-法布里病(Anderson-Fabry disease,AFD)是溶酶体酶活性降低和非水解型溶酶体内储存所致。心血管并发症(主要以 HCM 的形式出现)大大增加了 AFD 患者的死亡率。在此,我们报告了三例新的阻塞性 HCM(HOCM)病例,这些病例均为非典型的 AFD 表现和孤立的心脏受累。在所有三例病例中,AFD 的诊断都是在术后通过常规基因和形态学检测做出的。本报告与之前发表的病例一起,说明了对 AFD-HOCM 患者进行室间隔手术切除术的潜在安全性和有益效果,并强调了在 HOCM 患者中对 AFD 相关心肌病的临床症状和 GLA 变体进行更彻底筛查的必要性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Septal Myectomy in Patients with Hypertrophic Cardiomyopathy and Nonclassical Anderson-Fabry Disease.

Anderson-Fabry disease (AFD) results from decreased enzyme activity of lysosomal enzymes and intralysosomal storage of nonhydrolyzed forms. Cardiovascular complications, mainly in the form of HCM, contribute substantially to AFD patient mortality. Here, we report three new cases of obstructive HCM (HOCM) in nonclassical presentations of AFD and isolated cardiac involvement. In all three cases, the diagnosis of AFD was made postoperatively by routine genetic and morphological testing. Together with previously published cases, this report illustrates the potential safety and beneficial effect of septal surgical myectomy in patients with AFD-HOCM, as well as underlines the need for more thorough screening for clinical signs of AFD-associated cardiomyopathy and GLA variants among patients with HOCM.

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来源期刊
ACS Applied Bio Materials
ACS Applied Bio Materials Chemistry-Chemistry (all)
CiteScore
9.40
自引率
2.10%
发文量
464
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