Advanced Anderson-Fabry disease presenting with left ventricular apical aneurysm and ventricular tachycardia

Figure 3 Transthoracic echocardiogram. A: Transthoracic echocardiogram (TTE), apical four-chamber view, demonstrating concentric left ventricular hypertrophy with mid-cavitary obliteration at end-systole, as well as a large left-ventricular apical aneurysm (LVAA); B: TTE apical two-chamber view, with ultrasound contrast demonstrating stasis within the LVAA with a circular flow pattern, as well as decreased perfusion of the apex.