Barth syndrome is caused by changes in the tafazzin (TAZ) gene, which is also associated with a heart condition called isolated left ventricular noncompaction (LVNC). The tafazzin gene contains instructions for the tafazzin protein, which is located in mitochondria, the energy-producing cells in the body. Many of these cells are found in the heart. Tafazzin protein is involved in altering cardiolipin, which plays a critical role in the mitochondrial inner membrane. Cardiolipin is a lipid (a type of fat) that can only be found in the mitochondria.

