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Thorac Cardiovasc Surg 1983; 31(5): 297-300
DOI: 10.1055/s-2007-1022000
DOI: 10.1055/s-2007-1022000
Left Endomyocardial Fibrosis with Severe Mitral Insufficiency; The Case for Mitral Valve Repair. A Report of 4 Cases
Further Information
Publication History
1983
Publication Date:
19 March 2008 (online)
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