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Ann Thorac Surg 2006;82:1115-1117
© 2006 The Society of Thoracic Surgeons

Case report

Successful Reoperation After 17 Years in a Case of Endomyocardial Fibrosis

Sanjay Mammen Cherian, MSa,*, Baylal Ragavendra Jagannath, DNBa, Sushma Nayar, MDb, Kotturathu Mammen Cherian, FRACSa

a Department of Cardiovascular Surgery, Chennai, India
b Department of Pathology, Frontier Lifeline, International Centre for Cardiothoracic and Vascular Diseases & Dr KM Cherian Heart Foundation, Chennai, India

Accepted for publication December 8, 2005.

* Address correspondence to Dr Cherian, Frontier Lifeline, International Centre for Cardiothoracic and Vascular Diseases & Dr KM Cherian Heart Foundation, R-30-C, Ambattur Industrial Estate Rd, Mogappair, Chennai, 600101 India (Email: frontierlifeline{at}yahoo.co.in).

Endomyocardial fibrosis is an uncommon cause of congestive cardiac failure characterized by severe diffuse thickening of the endocardium, and the overall long-term prognosis of this disease is generally considered poor. We report a case of endomyocardial fibrosis that was initially treated by endocardial resection and mitral valve replacement, which was regularly followed-up. The patient underwent successful repair of a paravalvular leak after a period of 17 years. The treatment of left ventricular endomyocardial fibrosis with associated mitral valve disease by endocardial resection and mitral valve replacement is a good surgical option that provides good long-term results.






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