Metras D, Ouattara K, Coulibaly A O, Touze J E
Thorac Cardiovasc Surg. 1983 Oct;31(5):297-300. doi: 10.1055/s-2007-1022000.
Left ventricular endomyocardial fibrosis accompanied by severe mitral insufficiency occurring in 4 adolescent African patients is reported. Mitral valve repair was successfully performed in all 4 cases including annuloplasty in 3 and chordal shortening in one. Short-term follow-up of up to 10 months indicated substantial clinical improvement and decrease of the cardiothoracic ratio in all. It is emphasized that mitral valve repair appears to be the method of choice in treating mitral incompetence in the localized form of endomyocardial fibrosis, where endocardiectomy is not required in the area of the papillary muscles.
报道了4例非洲青少年患者出现左心室心内膜心肌纤维化并伴有严重二尖瓣关闭不全的情况。所有4例均成功进行了二尖瓣修复，其中3例行瓣环成形术，1例行腱索缩短术。长达10个月的短期随访表明，所有患者临床症状均有显著改善，心胸比率降低。强调在局限性心内膜心肌纤维化形式的二尖瓣关闭不全治疗中，二尖瓣修复似乎是首选方法，在乳头肌区域无需进行心内膜切除术。
