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Thorac Cardiovasc Surg 1983; 31(5): 297-300
DOI: 10.1055/s-2007-1022000
© Georg Thieme Verlag Stuttgart · New York

Left Endomyocardial Fibrosis with Severe Mitral Insufficiency; The Case for Mitral Valve Repair. A Report of 4 Cases

D. Metras, K. Ouattara, A. O. Coulibaly, J. E. Touze
  • Department of Surgery, Institute of Cardiology, Abidjan, Ivory Coast, Africa
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Publication History

1983

Publication Date:
19 March 2008 (online)

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Summary

Left ventricular endomyocardial fibrosis accompanied by severe mitral insufficiency occurring in 4 adolescent African patients is reported. Mitral valve repair was successfully performed in all 4 cases including annuloplasty in 3 and chordal shortening in one. Short-term follow-up of up to 10 months indicated substantial clinical improvement and decrease of the cardiothoracic ratio in all. It is emphasized that mitral valve repair appears to be the method of choice in treating mitral incompetence in the localized form of endomyocardial fibrosis, where endocardiectomy is not required in the area of the papillary muscles.

Key words

Endomyocardial fibrosis - Mitral incompetence - Mitral repair