Our patient presented in her third trimester of pregnancy with new onset of heart failure. A thorough workup in the initial postpartum period with detailed past medical history, advanced imaging modalities, and a multidisciplinary approach revealed a rare and treatable etiology of cardiomyopathy. (Level of Difficulty: Intermediate.).
Keywords: GDMT, guideline-directed medical therapy; LVEF, left ventricular ejection fraction; MTPD, mitochondrial trifunctional protein deficiency; RV, right ventricle/ventricular; TTE, transthoracic echocardiogram; cardiomyopathy; genetic disorders; lipid metabolism disorders; pregnancy.
© 2020 The Authors.