Cardiac hemochromatosis was found in a 46-year-old Caucasian man who had paroxysmal atrial fibrillation/flutter and congestive heart failure accompanied by liver failure and skin hyperpigmentation. Cardiac evaluation with echocardiography and cardiac catheterization, including right ventricular endomyocardial biopsy, revealed severe systolic and diastolic myocardial dysfunction with abundant iron deposits in the myocytes. These pathological findings of marked iron deposition in the myocardium can result in clinical congestive heart failure from both systolic and diastolic myocardial dysfunction.
The editor of Images in Cardiovascular Medicine is Hugh A. McAllister, Jr, MD, Chief, Department of Pathology, St Luke's Episcopal Hospital and Texas Heart Institute, and Clinical Professor of Pathology, University of Texas Medical School and Baylor College of Medicine.
Circulation encourages readers to submit cardiovascular images to Dr Hugh A. McAllister, Jr, St Luke's Episcopal Hospital and Texas Heart Institute, 6720 Bertner, MC 4-265, Houston, TX 77030.
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