A sixty-three year old French man presented with isolated late-onset amyloi
d cardiomyopathy proven by endomyocardial biopsy. There was no known family
history of amyloidosis. Immunohistochemistry of cardiac deposits suggested
that amyloi fibrils were derived from transthyretin. DNA sequencing reveal
ed a point mutation in exon 2 of the transthyretin gene responsible for a n
ovel amyloidogenic variant Asp42.