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Ann Thorac Surg 1980;29:243-248
© 1980 The Society of Thoracic Surgeons

Articles

Endomyocardial Fibrosis: Report of 6 Patients and Review of the Surgical Literature

Carlos R. Moraes, M.D.*, Enio Buffolo, M.D., Edgar Victor, M.D., Lurildo Saraiva, M.D., J.M.P. Gomes, M.D., Vital Lira, M.D., Ricardo Lima, M.D., Mozart Escobar, M.D., José Carlos Andrade, M.D.

From the Divisions of Thoracic Surgery, Cardiology, and Pathology, Federal University of Pernambuco Medical School, Recife, and the Division of Thoracic Surgery, Sào Paulo Hospital Medical School, Sào Paulo, Brazil

Accepted for publication July 19, 1979.

* Address reprint requests to Dr. Moraes, Av Boa Viagem, 4070, Recife 50.000, Brazil

Six patients with endomyocardial fibrosis were treated by endocardium decortication and atrioventricular valve replacement. There were 5 female patients and 1 male patient ranging from 14 to 48 years old (mean, 30 years). Four patients had involvement of the right ventricle, 1 patient had involvement of the left ventricle, and 1 patient had biventricular disease. There was 1 operative death due to low cardiac output state (the patient with biventricular endomyocardial fibrosis), and there was 1 late noncardiac death. The surgical literature, which describes 19 previously reported cases, was reviewed. On the basis of the results of this series and those of the reported cases, it is concluded that surgical treatment of endomyocardial fibrosis is feasible and provides good clinical improvement.




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