Cherian Sanjay Mammen, Jagannath Baylal Ragavendra, Nayar Sushma, Cherian Kotturathu Mammen
Department of Cardiovascular Surgery, Frontier Lifeline, International Centre for Cardiothoracic and Vascular Diseases & Dr KM Cherian Heart Foundation, Chennai, India.
Ann Thorac Surg. 2006 Sep;82(3):1115-7. doi: 10.1016/j.athoracsur.2005.12.041.
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.
心内膜心肌纤维化是导致充血性心力衰竭的一种罕见病因，其特征为心内膜严重弥漫性增厚，该病的总体长期预后通常被认为较差。我们报告一例心内膜心肌纤维化病例，该病例最初接受了心内膜切除术和二尖瓣置换术，并进行了定期随访。患者在17年后成功修复了瓣周漏。采用心内膜切除术和二尖瓣置换术治疗伴有二尖瓣疾病的左心室心内膜心肌纤维化是一种良好的手术选择，可提供良好的长期效果。
