%0 Case Reports %T Case Report: A rare homozygous patient affected by TTR systemic amyloidosis with a prominent heart involvement. %A Micaglio E %A Santangelo G %A Moscardelli S %A Rusconi D %A Musca F %A Verde A %A Campiglio L %A Bursi F %A Guazzi M %J Front Cardiovasc Med %V 10 %N 0 %D 2023 %M 37711552 %F 5.846 %R 10.3389/fcvm.2023.1164916 %X Hereditary transthyretin amyloidosis is a severe, adult-onset autosomal dominant inherited systemic disease predominantly affecting the peripheral and autonomic nervous system, heart, kidney, and the eyes. We present a case of a Caucasian 65-year-old man with cardiac amyloidosis and the homozygous mutation Val142Ile (classically, Val122Ile) in the transthyretin gene. We provide a genotype-phenotype correlation regarding the genetic status of both heterozygous and homozygous individuals and their clinical conditions at the time of genetic testing.