Endomyocardial fibrosis. Preoperative diagnosis and surgical therapy

The case of a Nigerian student with biventricular endomyocardial fibrosis is presented. Diagnosis was suggested by cardiac catheterization and histologically confirmed by a percutaneous endomyocardial biopsy. Successful surgical repair including mitral valve replacement, tricuspid valve reconstructi...

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Bibliographic Details
Published inChest Vol. 84; no. 6; p. 779
Main Authors Galbut, D L, Benson, J, Blankstein, R L, Vignola, P A, Gentsch, T O
Format Journal Article
LanguageEnglish
Published United States 01.12.1983
Subjects
Adult
Cardiac Catheterization
Endomyocardial Fibrosis - diagnosis
Endomyocardial Fibrosis - pathology
Endomyocardial Fibrosis - surgery
Heart Valve Prosthesis
Humans
Male
Mitral Valve - surgery
Preoperative Care
Tricuspid Valve - surgery
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Summary:The case of a Nigerian student with biventricular endomyocardial fibrosis is presented. Diagnosis was suggested by cardiac catheterization and histologically confirmed by a percutaneous endomyocardial biopsy. Successful surgical repair including mitral valve replacement, tricuspid valve reconstruction, and left ventricular endomyocardial resection was performed through a biatrial approach. The pathologic and surgical considerations are reviewed. This is one of the few cases of endomyocardial fibrosis reported from the United States and the first in which a percutaneous endomyocardial biopsy was used to provide a definitive preoperative histologic diagnosis.
ISSN:0012-3692
DOI:10.1378/chest.84.6.779