Endomyocardial fibrosis with aortic, mitral, and tricuspid valve involvement.

We recently saw a patient with endomyocardial fibrosis of the left ventricle, with aortic, mitra, and tricuspid valve involvement. The patient resided in Madrid and had never been to Africa. There was no history of filariasis. The patient underwent left ventricle endocardiectomy, aortic and mitral valve replacement with tricuspid valve commissurotomy, and Carpentier annuloplasty. Prospective follow-up was uneventful. Pathogenesis and surgical features are discussed herein.