Surgical treatment of biventricular endomyocardial fibrosis. A case report.

The clinical, fono-mechano-echocardiographic, hemodynamic and angiographic findings before and after surgery of a patient who developed bilateral extensive endomyocardial fibrosis probably secondary to filariasis, are described. The patient was surgically treated by endocardial decortication and insertion of a mitral and tricuspid Ionescu Shiley low profile valve, which was followed by a marked subjective and objective improvement during a follow-up period of 42 months.