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Ann Thorac Surg 1982;34:446-451
© 1982 The Society of Thoracic Surgeons

Articles

Mitral Annuloplasty in Endomyocardial Fibrosis: An Alternative to Valve Replacement

A.E. Wood, F.R.C.S. (I), D. Boyle, F.R.C.P., M.D. O'Hara, M.R.C. Path., J. Cleland, F.R.C.S.(E)*

Department of Cardiac Surgery, Royal Victoria Hospital, Belfast, Northern Ireland

Accepted for publication September 1, 1981.

* Address reprint requests to Mr. Cleland, Department of Cardiac Surgery, Royal Victoria Hospital, Grosvenor Rd, Belfast BT12 6BA, Northern Ireland

The case of a patient with left ventricular endomyocardial fibrosis (EMF) causing severe mitral regurgitation is presented. Excision of the fibrotic tissue through the left atrium and mitral annuloplasty resulted in symptomatic relief and uncomplicated pregnancy. An X-linked congenital dermatological condition, Bloch-Sulzberger syndrome (incontinentia pigmenti), associated with chronic eosinophilia, was also present. This occurrence with EMF has not previously been reported. Atrioventricular valve reconstruction is a feasible alternative to valve replacement in EMF.




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