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

Figure 4 Transthoracic echocardiogram continuous Doppler. A: Transthoracic echocardiogram continuous Doppler flow across the left ventricle. The mid-cavitary gradient at rest from two years prior to the left-ventricular apical aneurysm (LVAA) formation (71 mmHg) is shown; B: Over time, flow across the mid-cavitary obliteration decreased and the peak pressure declined after the formation of the LVAA (16 mmHg).