Internal Medicine
Online ISSN : 1349-7235
Print ISSN : 0918-2918
ISSN-L : 0918-2918
CASE REPORTS
Atrioventricular Block and Diastolic Dysfunction in a Patient with Sanfilippo C
Ikuo MisumiShoji ChikazawaTakateru IshitsuShigenori HiguchiTomoyuki ShimazuChizuru IkedaMariko UchinoYoshihiro ShibataKenji EbiharaRyuichiro Akahoshi
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JOURNAL OPEN ACCESS

2010 Volume 49 Issue 21 Pages 2313-2316

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Abstract

A 39-year-old woman with Sanfilippo C syndrome was referred to our department for the treatment of bradycardia. An electrocardiogram revealed a second degree atrioventricular block, and pacemaker implantation was performed with the patient under general anesthesia. A transthoracic echocardiogram showed normal left ventricular systolic function, moderate mitral regurgitation due to mitral valve prolapse, and a high E/e' ratio, indicating left ventricular diastolic dysfunction. The present patient exhibited a rare case of Sanfilippo syndrome complicated with conduction disturbances, mitral regurgitation, and diastolic dysfunction.

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© 2010 by The Japanese Society of Internal Medicine
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