“…4,8,9 Cardiovascular abnormalities observed in MPS I because of GAG infiltration of cardiac tissue include valvular disease, endocardial fibroelastosis, arrhythmias, congestive heart failure, aortic stenosis and myocardial ischaemia. [10][11][12][13][14] In addition, patients with MPS I may suffer from respiratory infections and obstructive sleep apnoea, with GAGs infiltrating into airway soft tissues, cartilage and the thoracic cage. 13,15 GAGs may also accumulate in the central nervous system (CNS), including within the meninges and even adjacent bone.…”